raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:308425

Methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency

Synonyms: MCEE deficiency · Methylmalonic acidemia due to methylmalonyl-CoA racemase deficiency · Methylmalonic aciduria due to methylmalonyl-CoA epimerase deficiency · Methylmalonic aciduria due to methylmalonyl-CoA racemase deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood, Infancy
Status
active

Methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency is a rare inborn error of metabolism disease characterized by mild to moderate, persistent elevation of methylmalonic acid in plasma, urine and cerebrospinal fluid. Clinical presentation may include acute metabolic decompensation with metabolic acidosis (presenting with vomiting, dehydration, confusion, hallucinations), nonspecific neurological symptoms, or may also be asymptomatic.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMethylmalonic acidemia due to methylmalonyl-CoA epimerase deficiencyMCEE deficiency · Methylmalonic acidemia due to methylmalonyl-CoA racemase deficiency · Methylmalonic aciduria due to methylmalonyl-CoA epimerase deficiency · Methylmalonic aciduria due to methylmalonyl-CoA racemase deficiency
frAcidémie méthylmalonique par déficit en méthylmalonyl-CoA épiméraseAcidurie méthylmalonique par déficit en méthylmalonyl-CoA racémase · Acidurie méthylmalonique par déficit en méthylmalonyl-CoA épimérase · Déficit en MCEE
deMethylmalonazidämie durch Methylmalonyl-CoA-Epimerase-MangelMCEE-Mangel · Methylmalonazidurie durch Methylmalonyl-CoA-Epimerase-Mangel · Methylmalonazidurie durch Methylmalonyl-CoA-Racemerase-Mangel · Methylmalonazidämie durch Methylmalonyl-CoA-Racemerase-Mangel
esAcidemia metilmalónica por deficiencia de metilmalonil-CoA epimerasaAcidemia metilmalónica por deficiencia de metilmalonil-CoA racemasa · Aciduria metilmalónica por deficiencia de metilmalonil-CoA epimerasa · Aciduria metilmalónica por deficiencia de metilmalonil-CoA racemasa · Deficiencia de MCEE
itAcidemia metilmalonica da deficit di metilmalonil-CoA epimerasiAcidemia metilamalonica da deficit di metilmalonil-CoA racemasi · Aciduria metilmalonica da deficit di metilmalonil-CoA epimerasi · Aciduria metilmalonica da deficit di metilmalonil-CoA racemasi · Deficit di MCEE
nlMethylmalonacidurie door methylmalonyl-CoA-epimerasedeficiëntieMCEE-deficiëntie · Methylmalonacidemie door methylmalonyl-CoA-epimerasedeficiëntie · Methylmalonacidemie door methylmalonyl-CoA-racemasedeficiëntie · Methylmalonacidurie door methylmalonyl-CoA-racemasedeficiëntie · Methylmalonzuuracidemie door methylmalonyl-CoA-epimerasedeficiëntie · Methylmalonzuuracidemie door methylmalonyl-CoA-racemasedeficiëntie · Methylmalonzuuracidurie door methylmalonyl-CoA-epimerasedeficiëntie · Methylmalonzuuracidurie door methylmalonyl-CoA-racemasedeficiëntie
ptAcidemia metilmalónica devido a défice de metilmalomil-CoA epimerase
plKwasica metylomalonowa z powodu niedoboru epimerazy metylomalonylo-CoAAcyduria metylomalonowa z powodu niedoboru epimerazy metylomalonylo-CoA · Acyduria metylomalonowa z powodu niedoboru racemazy metylomalonylo-CoA · Kwasica metylomalonowa z powodu niedoboru racemazy metylomalonylo-CoA · Niedobór MCEE
csMethylmalonová acidémie způsobená deficitem methylmalonyl-CoA-epimerázyMCEE deficit · Methylmalonová acidémie způsobená deficitem methylmalonyl-CoA-racemázy · Methylmalonová acidurie způsobená deficitem methylmalonyl-CoA-epimerázy · Methylmalonová acidurie způsobená deficitem methylmalonyl-CoA-racemázy
ukМетилмалонова ацидемія, зумовлена дефіцитом метилмалоніл-КоА епімеразиДефіцит MCEE · Метилмалонова ацидемія внаслідок дефіциту метилмалоніл-КоА-рацемази · Метилмалонова ацидурія внаслідок дефіциту метилмалоніл-КоА епімерази · Метилмалонова ацидурія внаслідок дефіциту метилмалоніл-КоА-рацемази
zh甲基丙二酰辅酶A差向异构酶缺乏所致乙基丙二酸血症甲基丙二酰辅酶A异构酶缺乏所致甲基丙二酸尿症
trMetilmalonil-CoA epimeraz eksikliğine bağlı metilmalonik asidemiMCEE eksikliği · Metilmalonil-KoA rasemaz eksikliğine bağlı metilmalonik asidemi · Metilmalonil-KoA rasemaz eksikliğine bağlı metilmalonik asidüri · Metilmalonil-KoA epimeraz eksikliğine bağlı metilmalonik asidüri

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM251120Evalidated
ICD-10E71.1NTBTattributedvalidated
ICD-115C50.E0NTBTindexvalidated
MONDO0009615Evalidated
UMLSC4707328Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MCEEDisease-causing germline mutation(s) inAssessedHGNC:16732ENSG000001243706084192p13.3methylmalonyl-CoA epimerase
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families7 casesWorldwideCase(s)Validated27699154[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27699154[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card