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Association between Hypothyroidism and Small Intestinal Bacterial Overgrowth

Under the condition of stress reactions such as fever, infection, or increased metabolic stress, patients with methylmalonic acidemia may manifest symptoms of acute metabolic decompensation such as impaired level of consciousness, hypotonia complicated by hyperammonemic encephalopathy, respiratory distress, acidosis, etc

Genetic testing is also valuable in the diagnosis of this disease

Hagihara et al

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