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Adolescents and adults with inborn errors of metabolism

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Published/Copyright: November 1, 2010
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International Journal on Disability and Human Development
From the journal Volume 9 Issue 2-3

Abstract

Inborn errors of metabolism (IEM), also known as “metabolic diseases” are a broad group of disorders that share the feature of an abnormality, commonly an enzymatic abnormality, affecting the intermediary metabolism of proteins, carbohydrates and fats. This review provides an overview of metabolic diseases and discusses current and recent advances in diagnostic and treatment options. We provide an overview of the fundamental types of IEMs and divide them into functional categories. Using phenylketonuria as an example we will outline the history of treatment in this prototype metabolic disease and describe some of the challenges clinicians and scientists successfully embraced, and the ongoing challenges we continue to face. Improved identification and definitive diagnosis, combined with ongoing efforts to maximize treatment options has resulted in survival and reduced morbidity of IEM patients. As a result patients with IEMs are surviving into the teen years and adulthood. We expect this trend to continue, with the provision of care, hopefully well into the geriatric age groups.


Corresponding author: Carolyn Bay, MD, Chief, Division of Clinical/Biochemical Genetics and Dysmorphology, Department of Pediatrics, Division of Genetics, University of Kentucky, 740 S. Limestone St., Room J419, Lexington, KY 40536, USA

Received: 2010-1-5
Accepted: 2010-2-15
Published Online: 2010-11-01
Published in Print: 2010-11-01

©2010 by Walter de Gruyter Berlin New York

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