Clinical approach to inherited metabolic diseases in the neonatal period: A 20-year survey View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1989-03

AUTHORS

J. M. Saudubray, H. Ogier, J. P. Bonnefont, A. Munnich, A. Lombes, F. Hervé, G. Mitchel, B. Poll Thé, N. Specola, P. Parvy, J. Bardet, D. Rabier, M. Coudé, C. Charpentier, J. Frézal

ABSTRACT

Every newborn with unexplained neurological deterioration, ketosis, metabolic acidosis or hypoglycaemia should be suspected of having an inherited error of intermediary metabolism. Many of these conditions can be diagnosed clinically with the aid of simple laboratory investigations. Since a substantial number of these diseases respond well to treatment but may otherwise be fatal, and in order to assure adequate prenatal diagnosis in subsequent pregnancies, a high index of suspicion and rapid diagnosis are necessary in the face of the clinical presentations described. According to three major clinical presentations observed in 218 neonates with inborn errors of intermediary metabolism (neurological distress 'intoxication' type, neurological distress 'energy-deficiency' type and hypoglycaemia with liver dysfunction) and according to the proper use of few laboratory investigations, we propose a method of diagnosis which groups these children into five categories. Initial therapy, and sophisticated investigations can be planned on the basis of this grouping. More... »

PAGES

25-41

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf01799284

DOI

http://dx.doi.org/10.1007/bf01799284

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1003160712

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/2509810


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