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.

Physical and neurological development of a girl born to a mother with methylmalonic acidemia and kidney transplantation and review of the literature / Marcellino, A.; Guido, C. A.; Bloise, S.; Mallardo, S.; Isoldi, S.; Del Giudice, E.; Dilillo, A.; Martucci, V.; Sanseviero, M.; Iorfida, D.; Spalice, A.; Lubrano, R.. - In: CHILDREN. - ISSN 2227-9067. - 8:11(2021). [10.3390/children8111013]

Physical and neurological development of a girl born to a mother with methylmalonic acidemia and kidney transplantation and review of the literature

Marcellino A.
Primo
;
Guido C. A.
Secondo
;
Bloise S.;Mallardo S.;Isoldi S.;Del Giudice E.;Dilillo A.;Martucci V.;Iorfida D.;Spalice A.
Penultimo
;
Lubrano R.
Ultimo
2021

Abstract

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.
2021
cognitive impairment; growth; methylmalonic acidemia; neurological devel-opment; pregnancy; renal transplantation
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Physical and neurological development of a girl born to a mother with methylmalonic acidemia and kidney transplantation and review of the literature / Marcellino, A.; Guido, C. A.; Bloise, S.; Mallardo, S.; Isoldi, S.; Del Giudice, E.; Dilillo, A.; Martucci, V.; Sanseviero, M.; Iorfida, D.; Spalice, A.; Lubrano, R.. - In: CHILDREN. - ISSN 2227-9067. - 8:11(2021). [10.3390/children8111013]
File allegati a questo prodotto
File Dimensione Formato  
Marcellino_Physical and Neurological_2021.pdf

accesso aperto

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Creative commons
Dimensione 1.42 MB
Formato Adobe PDF
1.42 MB Adobe PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1651589
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
social impact