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Newborn screening for galactosemia: a 30-year single center experience.
Francesco Porta1, Severo Pagliardini, Veronica Pagliardini
1Department of Pediatrics, University of Torino, Torino, Italy, porta.franc@gmail.com.
World Journal of Pediatrics : WJP
|March 11, 2015
Summary
Newborn screening for galactosemia is crucial. Early detection prevents acute liver failure in classic galactosemia, but intellectual disabilities persist in severe GALT deficiency cases.
Area of Science:
- Medical Genetics
- Newborn Screening
- Metabolic Disorders
Background:
- Galactosemia, caused by galactose-1-phosphate uridyltransferase (GALT) deficiency, was an early addition to newborn screening panels.
- Despite its inclusion, the necessity of screening for galactosemia has faced scrutiny, with limited long-term data available.
Purpose of the Study:
- To evaluate the long-term clinical outcomes of newborn screening for hypergalactosemia.
- To assess the effectiveness of current screening protocols for galactosemia and related disorders.
Main Methods:
- Retrospective review of newborn screening results for hypergalactosemia from 1982 onwards.
- Analysis of long-term clinical outcomes for diagnosed patients.
Main Results:
- Out of 1,123,909 screened newborns, 33 had confirmed hypergalactosemia.
- Diagnoses included classic galactosemia (13), partial GALT deficiency (8), galactokinase deficiency (3), transient galactosemia (7), and rare conditions.
- Classic galactosemia led to acute neonatal liver failure if not treated prescriptively; severe GALT deficiency resulted in intellectual disabilities despite early treatment.
Conclusions:
- Timely newborn screening results (within 5 days) can prevent acute decompensation in classic galactosemia.
- Comprehensive diagnostic evaluation is vital for all positive newborn screening cases to determine the specific cause of hypergalactosemia.
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