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Successful pregnancy in severe methylmalonic acidaemia

  • Published:
Journal of Inherited Metabolic Disease

Abstract

Methylmalonic acidaemia is an inborn error of metabolism characterized by recurrent episodes of life-threatening ketoacidosis. With improved and intensive treatment, these patients are living into adulthood, but many experience late-onset disease complications such as chronic renal failure, chronic pancreatitis and osteopenia. We report the successful delivery of a healthy baby to a 20-year-old woman with vitamin B12-unresponsive methylmalonic acidaemia who has these late-onset manifestations of the disease and had plasma methylmalonic acid concentrations of 1900μmol/L during the first trimester of pregnancy.

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References

  • Arn PH, Hauser ER, Thomas GH, Herman G, Hess D, Brusilow SW (1990) Hyperammonemia in women with a mutation at the ornithine carbamoyltransferase locus–a cause of postpartum coma. N Engl J Med 322: 1652–1655.

    PubMed  Google Scholar 

  • Asrat T, Nageotte MP (1995) Renal disease. In James DK, Steer PJ, Weiner CP, Gonik B, eds. High Risk Pregnancy: Management Options. London: WB Saunders, 465–469.

    Google Scholar 

  • Cabaniss, ML (1993) Fetal Monitoring Interpretation. Philadelphia: JB Lippincott.

    Google Scholar 

  • Davison JM, Lindheimer MD (1994) Renal disorders. In Creasy RK, Resnik R, eds. Maternal–Fetal Medicine: Principles and Practice, 3rd edn. Philadelphia: WB Saunders, 847–854.

    Google Scholar 

  • Diss E, Iams J, Reed N, Roe DS, Roe C (1995) Methylmalonic aciduria in pregnancy: a case report. Am J Obstet Gynecol 172: 1057–1059.

    PubMed  Google Scholar 

  • Fenton WA, Rosenberg LE (1995) Disorders of propionate and methylmalonate metabolism. In: Scriver CR, Beaudet Al, Sly WS, Valle D, eds. The Metabolic and Molecular Bases of Inherited Disease, 7th edn. New York: McGraw–Hill, 1423–1450.

    Google Scholar 

  • Gittenger JW, (1996) Eye diseases. In: Bennett JC and Plum F, editors, Cecil Textbook of Medicine, 20th edn. Philadelphia: W. B. Saunders, 2178.

    Google Scholar 

  • Grody WW, Chang RJ, Panagiotis NM, Matz D, Cederbaum SD (1994) Menstrual cycle and gonadal steroid effects on symptomatic hyperammoneaemia of urea–cycle–based and idiopathic aetiologies. J Inher Metab Dis 17: 566–574.

    PubMed  Google Scholar 

  • Grunewald S, Hinrichs F, Wendel U (1998) Pregnancy in a woman with maple syrup urine disease. J Inher Metab Dis 21: 89–94.

    PubMed  Google Scholar 

  • Hook EB (1981) Rates of chromosomal abnormalities at di.erent maternal ages. Obstet Gynecol 58: 282.

    PubMed  Google Scholar 

  • Hook EB (1983) Chromosome abnormalities and spontaneous fetal death following amniocentesis: further data and association with maternal age. Am J Hum Genet 35: 110.

    PubMed  Google Scholar 

  • Shih VE, Aubry RH, DeGrande G, Gursky SF, Tanaka K (1984) Maternal isovaleric acidemia. J Pediatr 105: 77–78.

    PubMed  Google Scholar 

  • Slocum RH, Cummings JG (1991) Amino acid analysis of physiological samples. In Hommes F, ed. Techniques in Diagnostic Human Biochemical Genetics. New York: Wiley–Liss, 87–126.

    Google Scholar 

  • Sweetman L (1991) Organic acid analysis. In Hommes F, ed. Techniques in Diagnostic Human Biochemical Genetics. New York: Wiley–Liss, 143–176.

    Google Scholar 

  • Tropper PJ, Petrie RH (1987) Placental exchange. In The Human Placenta: Clinical Perspectives. Maryland: Aspen Publications, 199–206.

    Google Scholar 

  • Van Calcar SC, Harding CO, Davidson SR, Barness LA, Wolff JA (1992) Case reports of successful pregnancy in women with maple syrup urine disease and propionic acidemia. Am J Med Genet 44: 641–646.

    PubMed  Google Scholar 

  • Worthington S, Christodoulou J, Wilcken B, Peat B (1996) Pregnancy and argininosuccinic aciduria. J Inher Metab Dis 19: 621–623.

    PubMed  Google Scholar 

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Wasserstein, M.P., Gaddipati, S., Snyderman, S.E. et al. Successful pregnancy in severe methylmalonic acidaemia. J Inherit Metab Dis 22, 788–794 (1999). https://doi.org/10.1023/A:1005597722237

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  • DOI: https://doi.org/10.1023/A:1005597722237

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