Article
MTHFD1 Deficiency in Two Unrelated Children: Highlights on Phenotypic Spectrum and Response to Folic Acid Therapy.
Journal of pediatric hematology/oncology - 1 Aug 2026
Altammar Fajer, Elsayed Haidy, Elshinawy Mohamed, Al-Herz Waleed
Abstract excerpt
BACKGROUND AND AIMS: Methylene-tetrahydrofolate dehydrogenase 1 (MTHFD1) deficiency is a rare inborn error of immunity (IEI) involving defects in folate metabolism. It can present with combined immunodeficiency and variable phenotypic features, including recurrent bacterial infections, megaloblastic anemia, and failure to thrive. METHODS: We describe 2 unrelated Kuwaiti children with MTHFD1 deficiency caused by a...
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