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Videre diagnostisk utredning.pdf - Oslo universitetssykehus

Videre diagnostisk utredning.pdf - Oslo universitetssykehus

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Propionsyreemi<br />

Metylmalonsyreemi<br />

• Nyfødtscreening: C3-carnitin<br />

• P-Total-homocystein, MMA og vitamin B12,<br />

Glukose, ammoniakk, elektrolytter, S/B, laktat, U-stix,<br />

• Homocystein, B12 og MMA hos mor.<br />

• Oppfølgende analyser:<br />

– U-organiske syrer<br />

• Metylmalonsyre, Propionsyre, 3-OH-propionsyre,<br />

metylcitrat ↑<br />

– P-, U- aminosyrer: glycin, alanin ↑<br />

– S carnitin total og fri ↓<br />

– P-acylcarnitiner C3-carnitin ↑<br />

– P-Total homocystein<br />

– S-MMA

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