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Organic Acids in the Second Morning Urine in a Healthy Swiss Paediatric Population

  • Olivier Boulat , Marianne Gradwohl , Vera Matos , Jean-Pierre Guignard und Claude Bachmann
Veröffentlicht/Copyright: 1. Juni 2005
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Clinical Chemistry and Laboratory Medicine (CCLM)
Aus der Zeitschrift Band 41 Heft 12

Abstract

Organic acid analysis is used for the early detection/exclusion and for the follow-up of inherited disorders of amino acid and organic acid metabolism. Urinary organic acid concentrations in 417 healthy Caucasian children (1 day to 17 years of age) were determined after liquid solid extraction, as their trimethylsilyl derivatives, by gas chromatography and mass spectrometry. Concentrations of most of the organic acids adjusted for creatinine tend to decrease with age. No differences were found between gender except for the Krebs cycle intermediates in the older age groups. In neonates, the immaturity of the neonatal kidney led to a much larger variation of organic acid levels when related to creatinine. The low number of subjects (n = 36−52) per age class resulted in large 95% confidence intervals of the percentiles used for decision. This must be taken into account when using the data for exclusion or diagnosis of disorders.

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Published Online: 2005-06-01
Published in Print: 2003-12-04

Copyright © 2003 by Walter de Gruyter GmbH & Co. KG

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