Management of methylmalonic acidemia (MMA) with N-carbamylglutamate: A case report from Italy.

ABSTRACT:

Background

Methylmalonic acidemia (MMA) is an inborn error of metabolism whose optimal management, especially in the long-term remains to be established.

Methods

We describe the case of a child with MMA mut⁰ who was in a cycle of episodes of decompensation and hospitalization when we started to use carglumic acid (CA), a well-known adjunctive therapy to standard care for the treatment of acute hyperammonemia due to MMA.

Results

Using the lowest effective therapeutic dose of CA and adjusting the patient's diet with caloric and protein intake adequate for her age and pathology, we managed to keep ammonium levels within the normal range, and to ensure a normal growth pattern.

Conclusion

The present case adds further confirmation of the long-term managem

SUBMITTER: Tubili F 

PROVIDER: S-EPMC9834187 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature