Tool chain acyl-coA dehydrogenase deficiency is a congenital disease created by a lower than normal degree of the medium chain acyl-coenzyme A dehydrogenase enzyme. Individuals with MCADD experience symptoms of metabolic situation due to low blood sugar after periods of extended fasting or in response to a common health problem. MCADD is a known source of unexpected baby fatality syndrome. This is when the baby's first experience with longer fasting would occur since babies are commonly weaned from nighttime feedings sometime in between 3 and 24 months of age. A child could also have symptoms in response to a common and normally mild disease like a cold, since it can decrease appetite and increase the body's metabolic needs. Alternatively, a specific with a milder form of MCADD might first develop symptoms in their adult years, in response to an extreme metabolic stress such as surgery or severe disease. An individual with MCADD that never ever got in a low blood sugar state would never experience the symptoms of the disease. Additional signs of the disease can include a bigger liver, low blood glucose due to inefficient break down of fats, and raised degrees of specific substances in the blood or urine. Secondary symptoms of MCADD that can develop after an individual has experienced one or several metabolic dilemmas are created by damage to body cells because of the hypoglycemic conditions throughout the events. Affected individuals might obtain such brain disorders as a failure to understand or use language and attention deficit disorder because of damage to the brain. Women with MCADD might experience pregnancy complications such as HELLP disorder.
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