Current Scenario of Clinical Diagnosis to Identify Inborn Errors of Metabolism with Precision Profiling for Expanded

Sukhes Mukherjee1, Ashwin Kotnis1, Suman Kumar Ray2

  • 1Department of Biochemistry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh-462020, India.

Insights

Inborn errors of metabolism (IEM) are rare genetic diseases needing early diagnosis for life-saving treatment. This review details IEM diagnosis and management, especially in resource-limited settings.

Area of Science:

  • Pediatric Genetics
  • Metabolic Disorders
  • Clinical Diagnostics

Background:

  • Inborn errors of metabolism (IEM) represent a group of rare genetic diseases causing significant childhood morbidity and mortality.
  • Early and accurate diagnosis of IEM is critical for effective intervention and improved patient outcomes.
  • Advances in metabolomics and genomic analysis are identifying novel IEMs, yet data acquisition for clinical trials remains challenging.

Purpose of the Study:

  • To provide a comprehensive overview of Inborn Errors of Metabolism (IEM).
  • To describe diagnostic approaches for IEM in patients presenting with early or late clinical signs.
  • To emphasize the utility of standard laboratory tests in preliminary assessments, particularly in resource-limited settings.

Main Methods:

  • Review of current literature on Inborn Errors of Metabolism.
  • Description of diagnostic strategies including clinical assessment and laboratory testing.
  • Discussion of therapeutic advancements and management guidelines.

Main Results:

  • Standard laboratory outcomes are crucial for preliminary patient assessment and guiding specific diagnostic tests.
  • Timely diagnosis and treatment initiation are emphasized, even without advanced genomic analysis or newborn screening.
  • Guidelines enhance treatment delivery and clinical outcomes for rare metabolic diseases.

Conclusions:

  • This article offers a detailed guide to IEM diagnosis and management.
  • It highlights the importance of strategic laboratory test selection for timely diagnosis and treatment.
  • Effective management strategies are crucial for reducing the impact of IEM on affected children and their families.

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