Hematological abnormalities in inborn errors of metabolism--how frequent are they? The Cretan experience

Athanasios Evangeliou1, Eugene Dafnis, Chrisoula Perdikoyanni

  • 1Department of Pediatrics, Faculty of Medicine, University of Crete, Heraklion, Crete, Greece. evangeli@med.uoc.gr

Insights

Hematological findings are often overlooked in diagnosing inborn errors of metabolism (IEM). Recognizing these signs can improve early detection and management of IEM patients.

Area of Science:

  • Medical Genetics
  • Hematology
  • Pediatric Medicine

Background:

  • Inborn errors of metabolism (IEM) are a group of genetic disorders.
  • Hematological findings are not commonly associated with IEM diagnosis.
  • Early diagnosis of IEM is crucial for effective management.

Purpose of the Study:

  • To determine the frequency and types of hematological findings in patients with inborn errors.
  • To explore the diagnostic utility of hematological findings in IEM.
  • To highlight the importance of hematological assessment in IEM.

Main Methods:

  • Retrospective analysis of 132 referred patients.
  • Identification and categorization of hematological findings.
  • Correlation of hematological findings with confirmed IEM diagnoses.

Main Results:

  • Hematological findings were present in 31 of 132 subjects.
  • Inborn errors of metabolism (IEM) were confirmed in 21 subjects.
  • Twelve of the 21 IEM patients had associated hematological findings.

Conclusions:

  • Hematological findings represent an underutilized diagnostic marker for IEM.
  • Collaboration between primary care physicians, neurologists, and hematologists can enhance IEM diagnosis.
  • Increased awareness of hematological signs in IEM is recommended for improved patient outcomes.

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