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Physical and Neurological Development of a Girl Born to a Mother with Methylmalonic Acidemia and Kidney Transplantation and Review of the Literature
Background: actual literature suggests that children of methylmalonic acidemia patients are mostly healthy, but data are only partial, especially regarding long-term outcome. Therefore, our aim was to evaluate the possible long-term neurological effects of fetal exposure to high levels of methylmalo...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619094/ https://www.ncbi.nlm.nih.gov/pubmed/34828726 http://dx.doi.org/10.3390/children8111013 |
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author | Marcellino, Alessia Guido, Cristiana Alessia Bloise, Silvia Mallardo, Saverio Isoldi, Sara Del Giudice, Emanuela Dilillo, Anna Martucci, Vanessa Sanseviero, Mariateresa Iorfida, Donatella Spalice, Alberto Lubrano, Riccardo |
author_facet | Marcellino, Alessia Guido, Cristiana Alessia Bloise, Silvia Mallardo, Saverio Isoldi, Sara Del Giudice, Emanuela Dilillo, Anna Martucci, Vanessa Sanseviero, Mariateresa Iorfida, Donatella Spalice, Alberto Lubrano, Riccardo |
author_sort | Marcellino, Alessia |
collection | PubMed |
description | Background: actual literature suggests that children of methylmalonic acidemia patients are mostly healthy, but data are only partial, especially regarding long-term outcome. Therefore, our aim was to evaluate the possible long-term neurological effects of fetal exposure to high levels of methylmalonic acid in a child of a renal transplant recipient. Methods: we retrospectively evaluated the clinical and neurological records of a girl whose mother is a kidney transplant recipient affected by methylmalonic acidemia. Subsequently, we compared our results with the ones already published. Results: the girl’s weight and stature were within the normal range in the first years of life but, starting from 4 years of age, she became progressively overweight. Regarding the neurodevelopment aspects, for the first time we performed a complete and seriated neuropsychological evaluation, highlighting a mild but significant weakness in the verbal domain, with a worsening trend at three-year revaluation. Conclusions: since children of MMA patients are exposed to methylmalonic acid, the efforts of the physicians caring for these children should be directed on careful evaluation of growth, prevention of obesity and regular neurological examination together with structured neuropsychological tests to achieve a better insight in possible complications of pregnancy in patients suffering from this condition. |
format | Online Article Text |
id | pubmed-8619094 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86190942021-11-27 Physical and Neurological Development of a Girl Born to a Mother with Methylmalonic Acidemia and Kidney Transplantation and Review of the Literature Marcellino, Alessia Guido, Cristiana Alessia Bloise, Silvia Mallardo, Saverio Isoldi, Sara Del Giudice, Emanuela Dilillo, Anna Martucci, Vanessa Sanseviero, Mariateresa Iorfida, Donatella Spalice, Alberto Lubrano, Riccardo Children (Basel) Review Background: actual literature suggests that children of methylmalonic acidemia patients are mostly healthy, but data are only partial, especially regarding long-term outcome. Therefore, our aim was to evaluate the possible long-term neurological effects of fetal exposure to high levels of methylmalonic acid in a child of a renal transplant recipient. Methods: we retrospectively evaluated the clinical and neurological records of a girl whose mother is a kidney transplant recipient affected by methylmalonic acidemia. Subsequently, we compared our results with the ones already published. Results: the girl’s weight and stature were within the normal range in the first years of life but, starting from 4 years of age, she became progressively overweight. Regarding the neurodevelopment aspects, for the first time we performed a complete and seriated neuropsychological evaluation, highlighting a mild but significant weakness in the verbal domain, with a worsening trend at three-year revaluation. Conclusions: since children of MMA patients are exposed to methylmalonic acid, the efforts of the physicians caring for these children should be directed on careful evaluation of growth, prevention of obesity and regular neurological examination together with structured neuropsychological tests to achieve a better insight in possible complications of pregnancy in patients suffering from this condition. MDPI 2021-11-05 /pmc/articles/PMC8619094/ /pubmed/34828726 http://dx.doi.org/10.3390/children8111013 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Marcellino, Alessia Guido, Cristiana Alessia Bloise, Silvia Mallardo, Saverio Isoldi, Sara Del Giudice, Emanuela Dilillo, Anna Martucci, Vanessa Sanseviero, Mariateresa Iorfida, Donatella Spalice, Alberto Lubrano, Riccardo Physical and Neurological Development of a Girl Born to a Mother with Methylmalonic Acidemia and Kidney Transplantation and Review of the Literature |
title | Physical and Neurological Development of a Girl Born to a Mother with Methylmalonic Acidemia and Kidney Transplantation and Review of the Literature |
title_full | Physical and Neurological Development of a Girl Born to a Mother with Methylmalonic Acidemia and Kidney Transplantation and Review of the Literature |
title_fullStr | Physical and Neurological Development of a Girl Born to a Mother with Methylmalonic Acidemia and Kidney Transplantation and Review of the Literature |
title_full_unstemmed | Physical and Neurological Development of a Girl Born to a Mother with Methylmalonic Acidemia and Kidney Transplantation and Review of the Literature |
title_short | Physical and Neurological Development of a Girl Born to a Mother with Methylmalonic Acidemia and Kidney Transplantation and Review of the Literature |
title_sort | physical and neurological development of a girl born to a mother with methylmalonic acidemia and kidney transplantation and review of the literature |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619094/ https://www.ncbi.nlm.nih.gov/pubmed/34828726 http://dx.doi.org/10.3390/children8111013 |
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