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. 2014 Apr 10;15:13–27. doi: 10.1007/8904_2014_293

Table 1.

Presenting symptoms/signs and results of confirmatory tests

Patient number/sex Age at onset Presenting symptoms/signs PDHC activity (%) Mutation
1/male Neonatal Feeding difficulties F: 39 PDHA1: c.1133G > A, p.Arg378His
Lethargy
Irregular breathing
Hypertonia
2/female Neonatal Feeding difficulties F: 36 (PDH E1: 28) PDHA1: c.419-(17_14)delTGTT
Lethargy SM: 39
Hypotonia
3/female Neonatal Feeding difficulties F: 21 PDHA1: c.927_933delAGTAAGA, p.Ser312Valfs11
Lethargy
Hypotonia
Seizures
Facial asymmetry
4/male Neonatal Feeding difficulties F: 32 PDHA1: c.483C > T, p.Tyr161Tyr
Lethargy
Respiratory distress
Hypotonia
Seizures
5/male Neonatal Feeding difficulties F: 35 PDHA1: c.604-10C > G
Lethargy
Respiratory distress
Hypotonia
6/female Neonatal Feeding difficulties F: 19 PDHA1: c.511G > A, p.Val171Met
7/female Neonatal Feeding difficulties F: 50 PDHA1: c.947C > T, p.Pro316Leu
Hyperextension neck
8/female Neonatal Mild lethargy F: 33 (relative to protein) PDHA1: c.1139_1142dupCCAA, p.Trp383Serfs5
9/female Neonatal Congenital retinal dystrophy F: 40 (PDH E1: 37) PDHA1: c.853C > T, p.Gln285*
10/male M2 Seizures F: 43 PDHA1: c.628A > G, p.Met210Val
Respiratory distress L: 53
11/male M2 Episodes of irregular breathing F: 11 PDHA1: c.1132C > T, p.Arg378Cys
Seizures
12/male M4 Feeding difficulties F: 43 PDHA1: c.1156_7insT, p.Lys387*
Hypotonia L: 18
SM: <5
13/female M6 Feeding difficulties L: 39 PDHA1 c.1156_7insT, p.Lys387*
Lethargy
Hypotonia
Developmental delay
14/female M12 Developmental delay F: 64 PDHA1: c.858_861dupTTAC, p.Arg288Leufs9
Progressive microcephaly
15/male M12 Tremor F: 37 PDHA1: c.787C > G, p.Arg263Gly
Frequent falling
General weakness
16/male M14 Intermittent ataxia F: 75 PDHA1: c.787C > G, p.Arg263Gly
17/female M24 Developmental delay F: 10 PDHA1: c.1156_7insT, p.Lys387*
Right hemiparesis
18/male Y2M3 Intermittent ataxia F: 41 PDHA1: c.261T > G, p.Ile87Met
19a/female (Cascade testing) No symptoms ND PDHA1: c.261T > G, p.Ile87Met
20b/female Neonatal Feeding difficulties F: 26

Y years, M months, Sz seizures, F fibroblasts, L lymphocytes, SM skeletal muscleaAsymptomatic female patient diagnosed through cascade testingbPDHC deficiency secondary to HIBCH deficiency