<unk>  can be suspected based on blood or cerebrospinal fluid tests showing high levels of lactate; the underlying genetic mutation can only be diagnosed with genetic testing.
Congenital lactic acidosis
Pipecolic acidemia
Dicarboxylic aminoaciduria
Phenylketonuria
Glutaric acidemia type 2
Methylmalonic acidemia
D-Glyceric acidemia
Hawkinsinuria