Analysis of genetic metabolic disease in high-risk infants screening in Xi'an area in 2010

AI Ting,LIU Li

Chinese Journal of Child Health Care ›› 2012, Vol. 20 ›› Issue (3) : 202-204.

PDF(477 KB)
PDF(477 KB)
Chinese Journal of Child Health Care ›› 2012, Vol. 20 ›› Issue (3) : 202-204.

Analysis of genetic metabolic disease in high-risk infants screening in Xi'an area in 2010

  • AI Ting,LIU Li
Author information +
History +

Abstract

【Objective】 To summary the incidence and the treatment experience of high-risk infants with congenital genetic metabolic disease in Xi'an region during 2010 year,and to promote clinical medical workers to improve their power of understanding and processing to congenital genetic metabolic disease. 【Method】 The technology of high performance liquid chromatography tandem mass spectrometry (HPLC/MS/MS) were used to screen 104 blood samples from high risk cases from 17 hospital in Xi'an area during 2010. 【Results】 Seven of 104 patients (6.7%) were positive in our selective screening program, including three with methylmalonic acidemia,one with transient tyrosinemia, one with homocystinuria,one with maple syrup urine disease(MSUD),and one with medium chain acyl-CoA dehydrogenase deficiency (MCAD). 【Conclusions】 The incidence of congenital genetic metabolic disease is very high in high-risk infants in Xi'an.According to the incidence,they are in turn to the organic acids metabolic disease,the amino sour metabolic disease and the lipid metabolic disease.Early screening is favorable not only for children and family to early intervention,also be helpful for hospital diagnosed etiology and reduce the occurrence of medical dispute it should deserve further promotion activities.

Key words

inherited metabolic diseases / tandem mass spectrometry / screening

Cite this article

Download Citations
AI Ting,LIU Li. Analysis of genetic metabolic disease in high-risk infants screening in Xi'an area in 2010[J]. Chinese Journal of Child Health Care. 2012, 20(3): 202-204

References

[1] Dai L,Zhu J,Liang J,et al.Birth defects surveillance in China[J].World J Pediatr,2011,7(4):302-310.
[2] 张春花.先天性代谢异常的预防诊断与治疗[J].中国当代儿科杂志,2005,7(5):477-480.
[3] 杨艳玲,张致祥,顾强,等.智力低下患儿氨基酸有机酸代谢异常的筛查与诊断的初步研究[J].中国儿童保健杂志,2000,8(2):82-83.
[4] 顾学范,韩连书,高晓岚,等.串联质谱技术在遗传性代谢病高危儿童筛查中的初步应用[J].中华儿科杂志,2004,42(6):401-404.
[5] Shigematsu Y,Hirano S,Hata I,et al.Newborn mass screening and selective screening using electrospray tandem mass spectrometry in Japan[J].J Chromatogr B,2002,776:39-48.
[6] Moammar H,Cheriyan G,Mathew R,et al.Incidence and patterns of inborn errors of metabolism in the Eastern Province of Saudi Arabia,1983-2008[J].Ann Saudi Med,2010,30(4):271-277.
[7] Chace DH,DiPerna JC,Naylor EW.Laboratory integration and utilization of tandem mass spectrometry in neonatal screening:a model for clinical mass spectrometry in the next millennium[J].Acta Pdiatr,1999,432:45-47.
[8] Lindner M,Gramer G,Haege G,et al.Efficacy and outcome of expanded newborn screening for metabolic diseases-report of 10 years from South-West Germany[J].Orphanet J Rare Dis,2011,20(6):44-46.
[9] 黄新文.应用串联质谱技术进行新生儿遗传代谢病筛查[J].中国儿童保健杂志,2011,19(2):99-101.
[10] Wilcken B,Haas M,Joy P,et al.Expanded newborn screening: outcome in screened and unscreened patients at age 6 years[J].Pediatrics,2009,124(2):241-248.
[11] Lee HC,Mak CM,Lam CW,et al.Analysis of inborn errors of metabolism: disease spectrum for expanded newborn screening in Hong Kong[J].Chin Med J,2011,124(7):983-989.
PDF(477 KB)

Accesses

Citation

Detail

Sections
Recommended

/