Multiple carboxylase deficiency

Forms include:^{[citation needed]}

• Holocarboxylase synthetase deficiency - neonatal;
• Biotinidase deficiency - late onset;

If left untreated, the symptoms can include feeding problems, decreased body tone, generalized red rash with skin exfoliation and baldness, failure to thrive, seizure, coma, developmental delay, foul smelling urine, lactic acidosis, and high levels of ketones and ammonia in the blood.^{[citation needed]}

• http://www.pmh.health.wa.gov.au/services/newborn/health_professionals/disorders/mcd_prof.htm

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