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. 2018 Jun 22;16:36–38. doi: 10.1016/j.ymgmr.2018.05.004

Table 2.

Clinical outcomes for patients with propionic acidemia.

Age at presentation/diagnosis Age at last evaluation Clinical presentation Hospitalization Long-term complication
Identified by newborn screening (7 cases)
Neonate 13 years Asymptomatic Yes, Cardiac arrest Cardiac related sudden death at age 13
Neonate 9 years Asymptomatic None Asymptomatic
Neonate 5 years Asymptomatic Yes, Metabolic decompensation Prolonged QT arrhythmia
Neonate 4 years Asymptomatic None Seizure, precipitated by illness
Neonate 3 years Asymptomatic None Asymptomatic
Neonate 2 years Asymptomatic None Asymptomatic
Neonate 6 months Asymptomatic None Asymptomatic



Identified by clinical presentation (7 cases)
5 years 26 years Metabolic decompensation Yes, Metabolic decompensation Seizure disorder, Movement disorder, Learning difficulties
3 years 24 years Metabolic decompensation Yes, Metabolic decompensation, cardiomyopathy Cardiomyopathy
8 years 11 years Seizures, Learning difficulties None Seizure disorder, Learning difficulties
8 months 10 years Metabolic decompensation, Seizures Yes, Metabolic decompensation Movement disorder, Learning difficulties, Poor weight gain
5 years 5 years Poor weight gain None Poor weight gain
23 month 2 years Metabolic decompensation Yes, Metabolic decompensation Seizures, Movement disorder
6 months 2 years Metabolic decompensation, Poor weight gain Yes, Metabolic decompensation Asymptomatic



Identified by family history (6 cases)
18 months 21 years Poor weight gain Yes, Metabolic decompensation Asymptomatic
Neonate 20 years Asymptomatic Yes, Seizures and cardiomyopathy Seizure disorder, Cardiomyopathy, Prolonged QT arrhythmia
19 years 20 years Learning difficulties, Poor weight gain None Learning difficulties, Poor weight gain
24 months 17 years Asymptomatic None Seizure disorder, Cardiomyopathy, Prolonged QT arrhythmia
1 month 14 years Asymptomatic None Cardiomyopathy
3 years 12 years Asymptomatic None Asymptomatic