Combined malonic and methylmalonic…

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Combined malonic and methylmalonic acidemia

ORPHA:289504Disease

Also called CMAMMA · Combined malonic and methylmalonic aciduria

What it is

A rare inborn error of metabolism characterized by elevation of malonic acid (MA) and methylmalonic acid (MMA) in body fluids, with higher levels of MMA than MA. CMAMMA presents in childhood with metabolic acidosis, developmental delay, dystonia and failure to thrive or in adulthood with seizures, memory loss and cognitive decline.

Key facts

Prevalence
1-9 / 100 000 (annual incidence, United States)
Age of onset
All ages
Inheritance
Autosomal dominant, Autosomal recessive
Classified as
Disease

Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.

Signs and symptoms

These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.

Gene

ACSF3Disease-causing germline mutation(s)

ICD-10 codes

E71.1filed under a broader ICD-10 category — shared with 34 other rare diseases

ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.

Related health topics

Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.

Cross-references

GARD 10818MESH C580002MONDO 0013661OMIM 614265UMLS C3280314

Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.

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