Detection of inherited metabolic disorders via tandem mass spectrometry in Thai infants

P Wasant1, E W Naylor, S Liammongkolkul

  • 1Department of Pediatrics, Siriraj Hospital Faculty of Medicine Mahidol University, Bangkok, Thailand.

Insights

This study highlights the prevalence of Inborn Errors of Metabolism (IEM) in Thai pediatric patients. Tandem mass spectrometry identified numerous metabolic disorders, emphasizing the need for advanced diagnostic tools.

Area of Science:

  • Medical Genetics
  • Pediatrics
  • Biochemistry

Background:

  • Inborn Errors of Metabolism (IEM) are a significant concern in pediatric populations.
  • Previous estimations suggested 2-4% of pediatric admissions in Thailand had suspected IEM, often diagnosed clinically due to limited facilities.

Observation:

  • A collaborative study utilized tandem mass spectrometry (MS/MS) for IEM diagnosis in high-risk infants and children.
  • 146 samples were analyzed between July 1993 and March 1998.

Findings:

  • The study detected a high prevalence of metabolic disorders, with 11.2% of tested individuals diagnosed with IEM.
  • Specific disorders identified include phenylketonuria, organic acidemia, maple syrup urine disease, and G6PD deficiency.

Implications:

  • The findings underscore the substantial burden of IEM in Thailand and the limitations of clinical diagnosis alone.
  • Implementing advanced diagnostic technologies like MS/MS is crucial for accurate and timely identification of IEM in pediatric patients.
  • Early diagnosis and intervention can significantly improve outcomes for children with metabolic disorders.

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