Table 1.
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