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Titlebook: Inborn Metabolic Diseases; Diagnosis and Treatm John Fernandes (Professor of Pediatrics),Jean-Mari Book 19901st edition Springer-Verlag Ber

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Disorders of Galactose Metabolismscovered either through newborn screening for hypergalactosemia, or by the chance finding of reducing substance in urine, or by selective urine screening for galactose in infants or older persons examined for nuclear cataracts. In the undiagnosed newborn drinking milk, cataracts develop insidiously
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Disorders of Fructose Metabolismance (HFI). In the third, fructose-1,6-diphosphatase deficiency, gluconeogenesis is severely impaired; this defect will be described elsewhere..In this chapter the two inherited abnormalities of fructose metabolism are described: deficiency of fructokinase and deficiency of fructose-1-phosphate aldo
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Disorders of Pyruvate Metabolism, the Citric Acid Cycle, and the Respiratory Chaine the rule rather than the exception with these diverse syndromes. The clinical syndromes may present predominantly as encephalopathies, myopathies, or encephalomyopathies. The biochemical deficiency may be complete with no detectable cross-reacting material (CRM) by immunoblot techniques, or the de
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Phenylketonuria and Hyperphenylalaninemia characteristic “musty” odor. Today, most neonates are screened for hyperphenylalaninemia, which includes PKU. The incidence of PKU is on average one in 10 000 births. A low-phenylalanine diet introduced within the first weeks of life prevents the symptoms of this disease provided the treatment is w
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Maternal Phenylketonuriauired to ensure normal intellectual development in the offspring is not yet available, but preconception diet can greatly reduce major defects of organo-genesis and improve the later intellectual performance. To keep the fetal phenylalanine below 500 µmo1/1 it is necessary to reduce the mother’s phe
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Disorders of Galactose Metabolismt treatment. Infants who remain undiagnosed develop symptoms and signs of liver and kidney failure and succumb to sepsis. Survivors develop cataracts and mental impairment. Diagnosis is suggested by the presence of reducing substance in the urine of the fed newborn, and it is made by enzyme assay on
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