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Published in: Indian Journal of Pediatrics 10/2019

01-10-2019 | Gaucher Disease | Original Article

Clinical Spectrum of Inherited Disorders of Metabolism

Authors: Ramaswamy Ganesh, R. Abinesh, Lalitha Janakiraman

Published in: Indian Journal of Pediatrics | Issue 10/2019

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Abstract

Objective

To study the clinical profile and outcome of children with Inborn errors of metabolism.

Methods

Thirty one newly diagnosed children with Inborn errors of metabolism over a 1 y period were studied for their relevant clinical, biochemical, diagnosis, treatment and follow-up details.

Results

Inborn errors of metabolism accounted for 2% of hospital admissions. Sixty five percent were born to parents of consanguineous marriage. Of the 31 children with Inborn errors of metabolism, 16 (51%) had lysosomal storage disorders, 8 (26%) had disorders of amino acid metabolism, 2 (6%) each had disorders of carbohydrate and bile acid metabolism, 1 (3%) each had disorders of fatty acid oxidation, mitochondrial and peroxisome metabolism. Acrodermatitis dysmetabolica, as a complication was observed in one child and the overall mortality rate in this series was 10%.

Conclusions

Lysosomal storage disorders constituted the majority of Inborn errors of metabolism in this series and amino acidopathies/organic acidemias were successfully treated with special formulas.
Literature
1.
go back to reference Burton BK. Inborn errors of metabolism in infancy: a guide to diagnosis. Pediatrics. 1998;102:e69.CrossRef Burton BK. Inborn errors of metabolism in infancy: a guide to diagnosis. Pediatrics. 1998;102:e69.CrossRef
2.
go back to reference Lodh M, Kerketta A. Inborn errors of metabolism in a tertiary care hospital of eastern India. Indian Pediatr. 2013;50:1155–6.CrossRef Lodh M, Kerketta A. Inborn errors of metabolism in a tertiary care hospital of eastern India. Indian Pediatr. 2013;50:1155–6.CrossRef
3.
go back to reference Kapoor S, Thelma BK. Status of newborn screening and inborn errors of metabolism in India. Indian J Pediatr. 2018;85:1110–7.CrossRef Kapoor S, Thelma BK. Status of newborn screening and inborn errors of metabolism in India. Indian J Pediatr. 2018;85:1110–7.CrossRef
4.
go back to reference Yang C-J, Wei N, Li M, et al. Diagnosis and therapeutic monitoring of inborn errors of metabolism in 100,077 newborns from Jining city in China. BMC Pediatr. 2018;18:110.CrossRef Yang C-J, Wei N, Li M, et al. Diagnosis and therapeutic monitoring of inborn errors of metabolism in 100,077 newborns from Jining city in China. BMC Pediatr. 2018;18:110.CrossRef
5.
go back to reference Choudhry S, Khan M, Rao HA, Jalan A, Khan EA. Etiology and outcome of inborn errors of metabolism. J Pak Med Assoc. 2013;63:1112–6.PubMed Choudhry S, Khan M, Rao HA, Jalan A, Khan EA. Etiology and outcome of inborn errors of metabolism. J Pak Med Assoc. 2013;63:1112–6.PubMed
6.
go back to reference Arif HS, Thejeal RF, Farhan A. Inborn errors of metabolism status in Iraq. IOSR J Pharm Biol Sci. 2016;11:58–62. Arif HS, Thejeal RF, Farhan A. Inborn errors of metabolism status in Iraq. IOSR J Pharm Biol Sci. 2016;11:58–62.
7.
go back to reference Verma PK, Ranganath P, Dalal AB, Phadke SR. Spectrum of lysosomal storage disorders at a medical genetics center in northern India. Indian Pediatr. 2012;49:799–804.CrossRef Verma PK, Ranganath P, Dalal AB, Phadke SR. Spectrum of lysosomal storage disorders at a medical genetics center in northern India. Indian Pediatr. 2012;49:799–804.CrossRef
8.
go back to reference Agarwal S, Lahiri K, Muranjan M, Solanki N. The face of lysosomal storage disorders in India: a need for early diagnosis. Indian J Pediatr. 2015;82:525–9.CrossRef Agarwal S, Lahiri K, Muranjan M, Solanki N. The face of lysosomal storage disorders in India: a need for early diagnosis. Indian J Pediatr. 2015;82:525–9.CrossRef
9.
go back to reference Sindgikar SP, Shenoy KD, Kamath N, Shenoy R. Audit of organic acidurias from a single centre: clinical and metabolic profile at presentation with long term outcome. J Clin Diagn Res. 2017;11:SC11–4. Sindgikar SP, Shenoy KD, Kamath N, Shenoy R. Audit of organic acidurias from a single centre: clinical and metabolic profile at presentation with long term outcome. J Clin Diagn Res. 2017;11:SC11–4.
10.
go back to reference Sachdeva A. Dietary interventions for rare metabolic disorders - now available in India! Indian Pediatr. 2017;54:909–10.CrossRef Sachdeva A. Dietary interventions for rare metabolic disorders - now available in India! Indian Pediatr. 2017;54:909–10.CrossRef
Metadata
Title
Clinical Spectrum of Inherited Disorders of Metabolism
Authors
Ramaswamy Ganesh
R. Abinesh
Lalitha Janakiraman
Publication date
01-10-2019
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 10/2019
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-019-02998-1

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