RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164078608 T1 Methylmalonic Acidemia (MMA) T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accesspediatrics.mhmedical.com/content.aspx?aid=1164078608 RD 2024/04/24 AB It is a heterogeneous inborn error of metabolism affecting amino acid metabolism, leading to metabolic acidosis and accumulation of methylmalonic acid (MMA) and its by-products. The onset of the disease is during infancy after a normal newborn period. Clinically, it is characterized by seizures and stroke. The symptoms begins when the infant is fed with protein, which causes progressive encephalopathy, developmental delay, failure to thrive, lethargy, recurrent yeast infections, severe vomiting, and dehydration.