医学
新生儿筛查
儿科
土耳其
泌尿系统
肌张力障碍
内科学
戊二酸
胃肠病学
精神科
语言学
哲学
有机化学
化学
作者
Sebile Kılavuz,Fatma Derya Bulut,Deniz Kör,Bilge Yılmaz,Neslihan Keser Özcan,Faruk İncecik,Bilen Onan,Gülay Ceylaner,Neslihan Önenli-Mungan
出处
期刊:Neuropediatrics
[Georg Thieme Verlag KG]
日期:2021-02-12
卷期号:52 (05): 358-369
被引量:3
标识
DOI:10.1055/s-0040-1722691
摘要
Glutaric aciduria type 1(GA-1) is an inherited cerebral organic aciduria. Untreated patients with GA-1 have a risk of acute encephalopathic crises during the first 6 years of life. In so far as GA-1 desperately does not exist in Turkish newborn screening (NBS) program, most patients in our study were late-diagnosed.This study included 41 patients diagnosed with acylcarnitine profile, urinary organic acids, mutation analyses in the symptomatic period. We presented with clinical, neuroradiological, and molecular data of our 41 patients.The mean age at diagnosis was 14.8 ± 13.9 (15 days to 72 months) and, high blood glutaconic acid, glutarylcarnitine and urinary glutaric acid (GA) levels in 41 patients were revealed. Seventeen different mutations in the glutaryl-CoA dehydrogenase gene were identified, five of which were novel. The patients, most of whom were late-diagnosed, had a poor neurological outcome. Treatment strategies made a little improvement in dystonia and the frequency of encephalopathic attacks.All GA-1 patients in our study were severely affected since they were late-diagnosed, while others show that GA-1 is a treatable metabolic disorder if it is diagnosed with NBS. This study provides an essential perspective of the severe impact on GA-1 patients unless it is diagnosed with NBS. We immediately advocate GA-1 to be included in the Turkish NBS.
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