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Cormier Rustin Munnich Syndrome

Presentation

Clinical presentation of mitochondrial disorders in childhood. [link.springer.com]

This study supports the view that a respiratory chain defect can present with insulin-dependent diabetes mellitus as the onset symptom. [jci.org]

Two patients presented with cardiomyopathy, one patient presented with encephalomyopathy, and one patient presented with a MELAS and akinetic rigid syndrome. [jasn.asnjournals.org]

It may present with anemia, diarrhea, exocrine pancreatic dysfunction, and failure to thrive.[1] Delay in diagnosis can lead to severe morbidity and mortality in infancy. [escipub.com]

The chapter presents an overview of Respiratory Chain and ubiquinone. Cellular consequences of CoQ 10 depletion along with clinical presentation of coenzyme Q 10 depletion are also discussed in the chapter. [idexlab.com]

Entire Body System

  • Feeding Difficulties

    difficulties, and hyperthermic episodes responsible for early lethality. [read.qxmd.com]

Eyes

  • Hemianopsia

    The MELAS syndrome is characterized by a childhood onset of intermittent hemicranial headaches, vomiting, proximal limb weakness, recurrent neurologic deficits resembling the effects of strokes (hemiparesis, cortical blindness, and hemianopsia), lactic [jasn.asnjournals.org]

Neurologic

  • Extrapyramidal Symptoms

    Leigh subacute necrotizing encephalomyopathy is a devastating encephalopathy characterized by recurrent attacks of psychomotor regression, with pyramidal and extrapyramidal symptoms, leukodystrophy, and brainstem dysfunction. [jasn.asnjournals.org]

Workup

Abnormal bone marrow findings including vacuolated marrow precursors and ringed sideroblasts along with persistent mild lactic acidosis led to a rapid and extensive genetics workup. [escipub.com]

Treatment

The following resources can be used to stay informed about new treatments and research results related to a rare disease: PubMed PubMed is a database of published research articles. [rarediseases.info.nih.gov]

Overlap in treatment and variety of cofounders make this positive result less secure. Propensity score eliminated the difference in outcome, except that every 10mg hydrocortisone equiv. [esf-cat.org]

Stacpoole P, Harman EM, Curry SH, Baumgartner TG, Misbin RI (1983) Treatment of lactic acidosis with dichloroacetate. N Engl J Med 309: 390–396PubMedCrossRefGoogle Scholar 22. [link.springer.com]

This case report highlights the advances in molecular genetic testing to diagnose patients with complex medical histories along the spectrum of mitochondrial diseases and the importance of early diagnosis to start treatment. [escipub.com]

Prognosis

Higher mortality was associated with higher concentrations of lesions, with confluence of lesions portending the worst prognosis. Smallpox during pregnancy resulted in an increased incidence of spontaneous abortions. [esf-cat.org]

Epidemiology

Cormier Rustin Munnich syndrome Prevalence Prevalence estimates on Rare Medical Network websites are calculated based on data available from numerous sources, including US and European government statistics, the NIH, Orphanet, and published epidemiologic [rarehematologynews.com]

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