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Case Report Classical Neonatal Propionic Acidaemia: Diagnostic and Management Pitfalls TYS Lui, GPG Fung, KM Belaramani Abstract Propionic acidaemia is an inborn error of metabolism classified under the category of organic acidaemias. This disease is caused by the deficiency of propionyl-CoA carboxylase enzyme. Initial presentation can be subtle with subsequent rapid deterioration. Newborn Screening for inborn error of metabolism can provide an early diagnosis and thus prompt treatment can be given, preventing mortality and morbidity. Keyword : Hyperammonaemia; Inborn error of metabolism; Proprionic acidaemia, newborn screening |