Multiple acyl-CoA dehydrogenase deficiency (MADD): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Multiple acyl-CoA dehydrogenase deficiency (MADD): clinical features. MADD is caused by mutations in the electronic transfer flavoprotein (ETF) gene.

Genetics

  • MADD is caused by mutations in the electronic transfer flavoprotein (ETF) gene
  • ETFDH causes riboflavin-responsive MADD (RR-MADD)
  • The transmission is autosomal recessive

Pathogenesis

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Types

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Acquired causes

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Muscle features

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Systemic features

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Features in crises

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Other features

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Differential diagnosis

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Synonym

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References

  1. Olsen RK, Olpin SE, Andresen BS, et al. ETFDH mutations as a major cause of riboflavin-responsive multiple acyl-CoA dehydrogenation deficiency. Brain 2007; 130:2045-2054. 
  2. Liang WC, Nishino I. Lipid storage myopathy. Curr Neurol Neurosci Rep 2011; 11:97-103.
  3. Mumtaz HA, Gupta V, Singh P, Marwaha RK, Khandelwal N. MR imaging findings of glutaric aciduria type II. Singapore Med J 2010; 51:e69-e71.
  4. Pollard LM, Williams NR, Espinoza L, et al. Diagnosis, treatment, and long-term outcomes of late-onset (type III) multiple acyl-CoA dehydrogenase deficiency. J Child Neurol 2010; 25:954-960. 
  5. van der Westhuizen FH, Smuts I, Honey E, et al. A novel mutation in ETFDH manifesting as severe neonatal-onset multiple acyl-CoA dehydrogenase deficiency. J Neurol Sci 2018; 384:121-125.
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