International Medicine and Health Guidance News ›› 2025, Vol. 31 ›› Issue (4): 692-695.DOI: 10.3760/cma.j.cn441417-20240726-04033

• Case Report • Previous Articles     Next Articles

One case of methylmalonic acidemia with constipation and weight loss as first symptoms and literature analysis

Jiang Meng, Zhao Jingru, Liu Hui, Liu Qingxin   

  1. Department of Neurology, Binzhou Medical University Hospital, Binzhou 256600, China

  • Received:2024-07-26 Online:2025-02-15 Published:2025-02-25
  • Contact: Liu Qingxin, Email: neurolqx@163.com
  • Supported by:

    Natural Science Foundation in Shandong Province (ZR2021MH206); Health Science and Technology Development Program in Shandong Province (2017WS157); Research Plan and Research Start-up Fund of Binzhou Medical University (BY2019KJ07)

以便秘伴体重下降为首发症状的甲基丙二酸血症1例并文献分析

蒋萌  赵静如  刘惠  刘庆新   

  1. 滨州医学院附属医院神经内科,滨州 256600

  • 通讯作者: 刘庆新,Email:neurolqx@163.com
  • 基金资助:

    山东省自然科学基金(ZR2021MH206);山东省医药卫生科技发展计划(2017WS157);滨州医学院科研计划与科研启动基金(BY2019KJ07)

Abstract:

Methylmalonic acidemia is an autosomal recessive genetic disease with abnormal methylmalonyl-CoA mutase metabolism. At present, neuropathy or metabolic acidosis have been reported as the first symptoms of the disease. This article reports and analyzes one case of methylmalonic acidemia with constipation as the first symptoms treated at Binzhou Medical University Hospital on September 18, 2023, hoping to provide help for early detection and treatment of methylmalonic acidemia.

Key words:

Methylmalonic acidemia is an autosomal recessive genetic disease with abnormal methylmalonyl-CoA mutase metabolism. At present, neuropathy or metabolic acidosis have been reported as the first symptoms of the disease. This article reports and analyzes one case of methylmalonic acidemia with constipation as the first symptoms treated at Binzhou Medical University Hospital on September 18, 2023, hoping to provide help for early detection and treatment of methylmalonic acidemia.

摘要:

甲基丙二酸血症是一种甲基丙二酰辅酶A变位酶代谢异常的常染色体隐形遗传病,目前对该病的报道主要以神经病变或代谢性酸中毒为首发症状。该文对滨州医学院附属医院2023年9月18日1例以便秘为首发症状的甲基丙二酸血症患者进行报道并文献分析,希望可以为尽早发现并治疗甲基丙二酸血症提供帮助。

关键词:

Methylmalonic acidemia,  , Hypercysteinemia,  , Constipation,  , Peripheral nerve damage,  , Vitamin B12