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Physical and neuropsychological development of children with Citrin deficiency
Ni-Si Zhang1, Zhan-Hui Zhang, Wei-Xia Lin1
1Department of Pediatrics, The First Affiliated Hospital of Jinan University, Guangzhou 510630, China.
Insights
Children with Citrin deficiency (CD) often experience physical and neuropsychological developmental delays. Regular assessments are crucial for monitoring growth and development in these children.
Area of Science:
- Pediatrics
- Medical Genetics
- Developmental Biology
Background:
- Citrin deficiency (CD) is a genetic disorder affecting the SLC25A13 gene.
- Early identification and monitoring of developmental milestones are essential for children with CD.
Purpose of the Study:
- To investigate the physical and neuropsychological development in children diagnosed with Citrin deficiency.
- To determine the incidence rates of various developmental delays in this cohort.
Main Methods:
- Retrospective analysis of 93 children diagnosed with CD via SLC25A13 gene analysis.
- Inclusion of 100 cases, considering assessments before and after one year of age.
- Evaluation of birth conditions, physical growth, and neuropsychological development indices.
Main Results:
- 25% of children exhibited failure to thrive, and 47% were small for gestational age.
- Incidence rates included growth retardation (23%), underweight (14%), and microcephalus (9%).
- 25% of cases showed neuropsychological developmental delay, with gross motor (15%) and language (9%) delays being most common.
Conclusions:
- Citrin deficiency is associated with significant physical and neuropsychological developmental delays in children.
- Routine monitoring of physical growth and neurodevelopment is recommended for early intervention in CD patients.
Objectives:
To study the physical and neuropsychological development of children with Citrin deficiency (CD).
Methods:
A total of 93 children, aged 1.9-59.8 months, who were diagnosed with CD by SLC25A13 gene analysis in the First Affiliated Hospital of Jinan University from August 2010 to August 2015, were enrolled as subjects. A retrospective analysis was performed for their birth condition and physical growth and neuropsychological development indices. Among these children, 7 underwent physical measurement and neuropsychological development assessment within 1 year old and after 1 year old, and therefore, a total of 100 cases were included for analysis.
Results:
For the 93 children with CD, the incidence rate of failure to thrive was 25% (23 children) and the proportion of small for gestational age was 47% (44 children). For the 100 cases of CD, the incidence rates of growth retardation, underweight, emaciation, overweight, and microcephalus were 23% (23 cases), 14% (14 cases), 4% (4 cases), 8% (8 cases), and 9% (9 cases), respectively. The incidence rate of neuropsychological developmental delay was 25% (25 cases), and the incidence rates of development delay in the five domains of adaptability, gross motor, fine motor, language, and social ability were 7% (7 cases), 15% (15 cases), 7% (7 cases), 9% (9 cases), and 7% (7 cases), respectively.
Conclusions:
Physical and neuropsychological developmental delay can be observed in children with CD, and physical and neuropsychological development should be regularly assessed.
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