The Frequency of Hereditary Metabolic Diseases in Children Referred to Amirkola Children Hospital (2005-2015)

BACKGROUND AND OBJECTIVE: Hereditary metabolic diseases are individually rare disorders, early diagnosis and treatment are very important which can prevent from permanent damage to the nervous system and mental retardation and other irreparable injury and even death in these patients. This study was done to evaluate the prevalence of hereditary metabolic diseases in children admitted to Amirkola children hospital 1384-94. METHODS: In this cross-sectional study, medical records of patients with hereditary metabolism disorders from 1384 to 1394 were studied. Related information to age, gender, family relationship, family history, disorder type, diagnostic criteria and disease outcome were extracted and analyzed. FINDINGS: In this study, 65 children were diagnosed with different types of metabolic disease research. The common disorders were maple syrup urine disease 14 patients (21.5%), methylmalonic acidemia 10 (15.3%), mitochondrial 8(12.3%) galactosemia 6(2.9%), respectively. Among children, 36 cases (55.4%) were male and positive family history of metabolic disorders was observed in 15 children (23.1%). Mortality of metabolic disorders was in 26 children (40%) and the rest of the 19 children (54.2%) had developmental delay. CONCLUSION: In this study 19 different types of hereditary metabolic diseases were detected that more than 25% of patients had a positive family history of this disorder.

[1]  You Heard Newborn Screening: What Does the Emergency Physician Need to Know? , 2015, American family physician.

[2]  S. Kamath Newborn screening in India , 2015, Indian Pediatrics.

[3]  Y. Pasha,et al.  Prevalence of maple syrup urine disease in Amirkola children’s hospital, Iran (2002-2012) , 2014 .

[4]  N. Al-Sannaa,et al.  Incidence and patterns of inborn errors of metabolism in the Eastern Province of Saudi Arabia, 1983-2008 , 2010, Annals of Saudi medicine.

[5]  S. Yamaguchi,et al.  Newborn screening in Japan: restructuring for the new era. , 2008, Annals of the Academy of Medicine, Singapore.

[6]  M. Saadat Consanguineous Marriages in Iranian Folktales , 2006, Public Health Genomics.

[7]  Y. Hasegawa,et al.  Clinical onset and prognosis of Asian children with organic acidemias, as detected by analysis of urinary organic acids using GC/MS, instead of mass screening , 2005, Brain and Development.

[8]  Z. Karamizadeh,et al.  Selective screening of amino acid disorders in the south-west of Iran, Shiraz , 2002, Journal of Inherited Metabolic Disease.

[9]  K. Aoki Newborn screening in Japan. , 2022, The Southeast Asian journal of tropical medicine and public health.

[10]  P. Vreken,et al.  Overview of common inherited metabolic diseases in a Southern Chinese population of Hong Kong. , 2001, Clinica chimica acta; international journal of clinical chemistry.

[11]  A. Bittles The Role and Significance of Consanguinity as a Demographic Variable , 1994 .

[12]  K. Aoki,et al.  Outcome of the Patients Detected by Newborn Screening in Japan , 1988, Acta paediatrica Japonica : Overseas edition.