Mental retardation and inborn errors of metabolism

Summary In countries where clinical phenylketonuria is detected by newborn screening inborn errors of metabolism are rare causes of isolated mental retardation. There is no international agreement about what type of metabolic tests must be applied in patients with unspecific mental retardation. Howe...

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Veröffentlicht in:Journal of inherited metabolic disease 2009-10, Vol.32 (5), p.597-608
Hauptverfasser: García-Cazorla, A., Wolf, N. I., Serrano, M., Moog, U., Pérez-Dueñas, B., Póo, P., Pineda, M., Campistol, J., Hoffmann, G. F.
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container_end_page 608
container_issue 5
container_start_page 597
container_title Journal of inherited metabolic disease
container_volume 32
creator García-Cazorla, A.
Wolf, N. I.
Serrano, M.
Moog, U.
Pérez-Dueñas, B.
Póo, P.
Pineda, M.
Campistol, J.
Hoffmann, G. F.
description Summary In countries where clinical phenylketonuria is detected by newborn screening inborn errors of metabolism are rare causes of isolated mental retardation. There is no international agreement about what type of metabolic tests must be applied in patients with unspecific mental retardation. However, and although infrequent, there are a number of inborn errors of metabolism that can present in this way. Because of the high recurrence risk and the possibility of specific therapies, guidelines need to be developed and adapted to different populations. The application of a universal protocol may result in a low diagnostic performance in individual ethnic populations. Consideration of associated signs (extraneurological manifestations, psychiatric signs, autistic traits, cerebellar dysfunction, epilepsy or dysmorphic traits) greatly improves the diagnostic fulfilment.
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source MEDLINE; SpringerNature Journals; Access via Wiley Online Library
subjects Algorithms
Biochemistry
Human Genetics
Humans
Infant, Newborn
Intellectual Disability - diagnosis
Intellectual Disability - etiology
Internal Medicine
Medicine
Medicine & Public Health
Metabolic Diseases
Metabolism, Inborn Errors - complications
Metabolism, Inborn Errors - diagnosis
Metabolism, Inborn Errors - psychology
Neonatal Screening - methods
Pediatrics
Practice Guidelines as Topic
Review
title Mental retardation and inborn errors of metabolism
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