Related Experiment Video
Updated: Sep 28, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
Published on: March 14, 2017
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.
Abstract:
This study aimed to ascertain the frequency and type of hematological findings in a defined group of patients with inborn errors on Crete. The key role of these hematological findings in the diagnosis of the inborn errors in daily practice was explored. A variety of hematological findings were obtained from 31 of the 132 subjects who had been referred to the University Hospital of Heraklion. A diagnosis of inborn errors of metabolism (IEM) was confirmed in 21 subjects, but in 12 of them the diagnosis was combined with hematological findings. The hematological findings consist of a neglected area in the diagnosis of the IEM, and cooperation of primary care physicians and neurologists could help hematologists in the management of people with unexplained hematological symptoms and signs.
More Related Videos
Related Concept Videos
Inborn Errors of Metabolism
Disorders of Erythrocytes
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Drug toxicity: Idiosyncratic Reactions
Translation
Translation

