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Dimethylglycine dehydrogenase deficiency(DMGDHD)

MedGen UID:
343006
Concept ID:
C1853892
Disease or Syndrome
Synonyms: DMGDH DEFICIENCY; DMGDHD
SNOMED CT: Deficiency of dimethylglycine dehydrogenase (719449007); Dimethylglycine dehydrogenase deficiency (719449007)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): DMGDH (5q14.1)
 
Monarch Initiative: MONDO:0011610
OMIM®: 605850
Orphanet: ORPHA243343

Definition

Dimethylglycine dehydrogenase deficiency (DMGDHD) is an inborn error of metabolism characterized by a fish-like odor, chronic fatigue, and increased level of the muscle form of creatine kinase in serum (Moolenaar et al., 1999). [from OMIM]

Clinical features

From HPO
Fish odor
MedGen UID:
1387060
Concept ID:
C4477064
Sign or Symptom
Body odor characterized by an offensive body odor and the smell of rotting fish due to the excessive excretion of trimethylamine (TMA) in the urine, sweat, and breath of affected individuals.
Elevated urinary N,N-dimethylglycine level
MedGen UID:
1671106
Concept ID:
C4732769
Finding
An increased concentration of N,N-dimethylglycine in the urine.
Increased muscle fatiguability
MedGen UID:
892934
Concept ID:
C4025573
Finding
An abnormal, increased fatiguability of the musculature.
Elevated circulating creatine kinase concentration
MedGen UID:
69128
Concept ID:
C0241005
Finding
An elevation of the level of the enzyme creatine kinase (also known as creatine phosphokinase (CK; EC 2.7.3.2) in the blood. CK levels can be elevated in a number of clinical disorders such as myocardial infarction, rhabdomyolysis, and muscular dystrophy.
Elevated circulating N,N-dimethylglycine concentration
MedGen UID:
1671019
Concept ID:
C4732768
Finding
An increased concentration of N,N-dimethylglycine in the circulation.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDimethylglycine dehydrogenase deficiency
Follow this link to review classifications for Dimethylglycine dehydrogenase deficiency in Orphanet.

Recent clinical studies

Diagnosis

McAndrew RP, Vockley J, Kim JJ
J Inherit Metab Dis 2008 Dec;31(6):761-8. Epub 2008 Oct 21 doi: 10.1007/s10545-008-0999-2. PMID: 18937046Free PMC Article

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