Published in:
Open Access
01-04-2011 | Editorial
Classic galactosemia: dietary dilemmas
Author:
Annet M. Bosch
Published in:
Journal of Inherited Metabolic Disease
|
Issue 2/2011
Login to get access
Excerpt
Classic galactosemia (McKusic 230400) is an inborn error of galactose metabolism caused by a deficiency of the enzyme galactose-1-phosphate uridyltransferase (GALT, EC 2..7.712), resulting in accumulation of the metabolites galactitol and galactose-1-phosphate. Patients ingesting galactose from breast milk or infant formula present in the first weeks of life with feeding difficulties, hepatocellular dysfunction, hypoglycemia, renal tubular dysfunction, cataract, and sepsis. Immediate removal of galactose from the diet results in a full recovery from this life-threatening neonatal crisis (Holton et al.
2001; Bosch
2006). …