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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Apnea,breathing Issues,weak Muscle Tone With PICA Behaviour In Baby?

Hi my name is Erica. I have a 13 month old daughter who has been exhibiting delays from birth. She has had feeding issues, apnea, breathing issues, as well as week muscle tone. She also is always fatigued, even after she naps. She also is exhibiting PICA behaviors. She is had multiple labs taken. She has had 3 elevated CK levels that have now gone down on this last lab, but continues to have elevated B-12 levels and elevated lactic acid levels. I don t know what to do now. Do you have any idea what might be causing these problems? Please help!
Mon, 12 Jan 2015
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Pediatrician, Pulmonology 's  Response
Hi...By what you quote I feel that your daughter might be having a minor variant of spinal muscular atrophy (SMA). I suggest you get her evaluated by a paediatric neurologist and she will definitely need physiotherapy for her developmental issues. Iron supplements might benefit to reduce her PICA. High B12 and lactate levels suggest an inborn error of metabolism.
Regards - Dr. Sumanth
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What Causes Apnea,breathing Issues,weak Muscle Tone With PICA Behaviour In Baby?

Hi...By what you quote I feel that your daughter might be having a minor variant of spinal muscular atrophy (SMA). I suggest you get her evaluated by a paediatric neurologist and she will definitely need physiotherapy for her developmental issues. Iron supplements might benefit to reduce her PICA. High B12 and lactate levels suggest an inborn error of metabolism. Regards - Dr. Sumanth