Article
Dual molecular genetic diagnosis with combined malonic and methylmalonic aciduria (CMAMMA): implications of coexisting genetic disorders on clinical presentation.
Journal of pediatric endocrinology & metabolism : JPEM - 17 Dec 2025
Ersoy Melike, Abali Zehra Yavas, Papatya Cakir Esra Deniz, Erdin Soner, Yararbas Kanay, Abali Saygin
Abstract excerpt
OBJECTIVES: Combined malonic and methylmalonic aciduria (CMAMMA) is an inherited metabolic disorder caused by ACSF3 variants leading to malonyl-CoA synthetase (MCS) deficiency. Despite its well-defined genetic basis, the clinical spectrum of CMAMMA remains highly variable. CASE PRESENTATION: This study reports six patients from three unrelated families, aged 12 days to 30 years, presenting with heterogeneous...
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