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1 month old baby suspected to have inborn error of metabolism. What treatment is required ?

Dear Dr, I have an organic acid chromatogram of 1 -month old baby suspected to have inborn errors of metabolism , a huge peak of succinic acid is detected. I need an expertise to interpret the result.
Asked On : Wed, 27 Jul 2011
Answers:  2 Views:  132
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Neurologist 's  Response
succinic acid ,butanedioic,has a role in the citric acid cycle(energy cycle) and can be increased due to products with chemicals eg shampoo, hair relaxer,hair color and bleaching.The oxidation reaction gives reduction of ubiquinone (Coenzym Q10) .
In children genetic disorders in energy metabolism can be the origin of the increase in succinic acid.This might be a mitochondrial( energy organelles in the cell) disturbance.Also atypical PKU (difficulty in excreting phenols) might be present.
You will need to have lab tests done by an pediatrician.
Answered: Sun, 14 Aug 2011
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  User's Response
1.high succinic acid=high blood acidity level
2.see a good paediatrician
Answered: Wed, 3 Aug 2011
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