Case Report

Genital Abnormalities and Growth Retardation as Early Signs of Dilated Cardiomyopathy with Ataxia Syndrome

Table 2

Clinical and molecular characteristics of patients with 3-methylglutaconic aciduria type V, including this report.

Study featuresDavey 2006Ojala 2012Al Teneiji 2016Ucar 2017Al Tuwaijri 2022Our patient

No. of patients18 hutterite patients2 Finish brothers1 patient1 Turkish patient1 Arabic patient1 Greek patient

Age at diagnosisN/AN/A13 years old2 months3 years old5.5 years old

Clinical features at the disease onset(i) DCMP (11/18)
(ii) Growth failure
(iii) Ataxia (10/18)
(iv) Genital anomalies
(i) DCMP
(ii) Growth retardation
(iii) Ataxia
(iv) Cryptorchidism (1/2)
(i) DCMP (transient)
(ii) Ataxia
(iii) Hypotonia
(i) DCMP noncompaction
(ii) Growth failure
(iii) Cryptorchidism
(iv) Severe neurodevelopmental delay
(i) DCMP
(ii) Developmental delay
(i) Genital anomalies
(ii) Growth retardation
(iii) Transaminasemia
(iv) Anemia

Additional features(i) Long QT (6/18)
(ii) Transaminasemia (8/18)
(iii) Hepatic steatosis (5/18)
(iv) Anemia (12/18)
(v) Mild MR (10/18)
(vi) Optic atrophy (4/18)
(vii) 3-MGA
(i) Noncompaction CMP
(ii) Long QT
(iii) Anemia
(iv) Hypotonia
(i) 3-MGA (transient)
(ii) Developmental delay
(iii) Mild transaminasemia
(i) Sensorineural hearing loss
(ii) Bilateral basal ganglia lesions
(iii) Dysmorphic facial features
(iv) Anemia
(v) Transaminasemia
(vi) 3-MGA
(i) Growth retardation
(ii) Hypotonia
(i) DCMP with noncompaction features
(ii) Prolonged QT
(iii) Liver steatosis
(iv) Vit D disorders
(v) Hypercalciuria
(vi) Osteopenia

Genetic analysisHomozygous splice site mutation (IVS3-1G > C)Homozygous polymorphism c.285A ⟶ C (p.Gly95 = )Homozygous five base pair splice site deletion in the DNAJC19 (c.280þ1_280þ 5delGTAAG)Variant c.63delC (p.Tyr21) in homozygous stateSingle homozygous frameshift at codon 54 in exon 4 (c.159del) [Phe54Leufs5]Homozygous insertion of a single base (T) at codon 21 in exon 3 of the DNAJC19 gene, c.62dup (p.Tyr21Ter)

N/A: not available; DCMP: dilated cardiomyopathy; 3-MGA: 3-methylglutaconic aciduria; MR: mental retardation.