How to deal with elevated C3 carnitine in inherited metabolic diseases?

Patient's question:

Hello, my child just turned one month old, and the disease control center asked for a follow-up check.
C3 and the ratio are elevated, and a follow-up check is required to rule out methylmalonic acidemia.
Propylcarnitine (C3) 4.52 ↑ 0.32~4
I want to ask what to do if it is really the case:

Doctor's answer:

Analysis of the condition:
Hello, if there are no symptoms and the increase is not significant, it is recommended to follow up for reexamination.
Guidance:
Hello, since the changes are not substantial, a reexamination can be conducted for confirmation. If it is indeed this condition, special dietary measures will be required. We know that pediatric genetic metabolic diseases have a significant impact on children. If left untreated or if the treatment method is incorrect, the condition can progress rapidly, causing great harm to the child. Therefore, parents should pay close attention to their child's condition and seek timely medical treatment.

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