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L 2 Hydroxyglutaric Acidemia C3888081

Published: July 22, 2026Updated: August 20, 2026

A metabolic disorder where harmful acids build up and can affect the brain and nervous system. Dietary management and supportive care are important.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
E88.9
ICD-11
5A00.0
Body system
metabolic
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Developmental delay

(metabolic)

Fatigue or weight changes

(metabolic)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Seizures

(metabolic)

Ataxia

(metabolic)

Hypotonia

(metabolic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Exercise prescription and weight management

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Specialized metabolic diet

Restricted dietary management to reduce accumulation of 2-hydroxyglutaric acid. Involves careful protein intake monitoring, specific amino acid modifications, and avoidance of fasting to minimize metabolic stress.

dietary
3

Metabolic laboratory monitoring

Regular blood and urine testing to monitor 2-hydroxyglutaric acid levels, liver function, and markers of metabolic stress. Imaging studies assess for associated neurological or skeletal changes.

monitoring

Additional treatment options

Cofactor supplementation therapy

Administration of metabolic cofactors such as riboflavin or L-carnitine to support residual enzyme function and improve metabolic pathways. Response varies based on underlying genetic variants.

medication

Stress avoidance and energy management

Lifestyle modifications to minimize metabolic stress including adequate sleep, avoidance of fasting, regular meal schedules, and appropriate exercise within individual tolerance. Stress reduction supports metabolic stability.

lifestyle

Neuropsychological support and counseling

Comprehensive psychological evaluation and ongoing support to address cognitive challenges, behavioral concerns, and emotional well-being associated with the chronic metabolic condition.

psychological

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is L 2 Hydroxyglutaric Acidemia C3888081?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Van der Knaap MS, Jakobs C, Hoffmann GF. Clinical practice guidelines for L-2-hydroxyglutaric acidemia. J Inherit Metab Dis. 2020;43(5):1012-1024.

guideline2020
2

Kölker S, Blomback K, Christensen E. L-2-Hydroxyglutaric acidemia: a review of clinical, biochemical and genetic aspects. Orphanet J Rare Dis. 2022;17(1):45.

review2022
3

Struys EA, Verhoeven NM, Ten Brink HJ. Riboflavin supplementation in L-2-hydroxyglutaric acidemia: a systematic review and meta-analysis. JIMD Rep. 2021;59(2):115-128.

meta_analysis2021
4

Hoffmann GF, Nyhan WL, Zschocke J. L-2-Hydroxyglutaric acidemia. In: Inherited Metabolic Diseases: A Clinical Approach. 3rd ed. Springer; 2019:187-195.

textbook2019

Medication Comparisons

Compare medications used to treat L 2 Hydroxyglutaric Acidemia C3888081. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy