Main clinical features
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associated with lactic acidemia and normal mtDNA content
poor feeding, vomiting, jaundice, distended abdomen, hemorrhagic diathesis, irritability, and hypoactivity with elevated liver transaminases, hypoglycemia, coagulopathy, hyperammonemia, and direct hyperbilirubinemia
in liver obtained during the acute phase, the activities of complexes I, III, and IV normalized to citrate synthase activity were markedly reduced; only complex II activity was relatively preserved
also cases of acute infantile liver failure with a reversible outcome (PMID: 21890497)) |