Skip to main content
Log in

Profile of inborn errors of metabolism in a tertiary care centre PICU

  • Original Article
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Objective

To study the clinico-investigative profile and outcome of patients with inborn errors of metabolism (IEM) presenting to the pediatric intensive care unit (PICU).

Methods

Records of all patients admitted in tertiary care centre PICU between August 2007 and September 2008 with a diagnosis of IEM were retrieved the details of clinical presentation, laboratory results, treatment and outcome were noted and analysed.

Results

Eleven (2.6%) out of 420 PICU admissions during the study period had a diagnosis of IEM with a high mortality rate of 36%. Clinical presentation was quite varied.

Conclusion

IEM are not uncommon in PICU. Simple biochemical tests and neuroimaging findings provide vital clues to the diagnosis of IEM.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Jouvet P, Touati G, Lesage F, Dupic L, Tucci M, Saudubray J M, et al. Impact of inborn errors of metabolism on admission and mortality in a pediatric intensive care unit. Eur J Pediatr 2007; 166:461–465.

    Article  PubMed  Google Scholar 

  2. Kumta NB. Inborn errors of metabolism (IEM) — An Indian perspective. Indian J Pediatr 2005; 72:325–332.

    Article  CAS  PubMed  Google Scholar 

  3. Raghuveer TS, Garg U, Graf WD. Inborn Errors of Metabolism in Infancy and Early Childhood: An Update. Am Fam Physician 2006;73:1981–1990.

    PubMed  Google Scholar 

  4. Millington DS. Tandem mass spectrometry in Clinical Diagnosis. In Blau N, Duran M, Blaskovics ME, Gibson KM, eds. Physician’s Guide to the Laboratory Diagnosis of Metabolic Diseases 2nd ed. London; Chapman & Hall, 1996;57–75.

    Google Scholar 

  5. Saudubray JM, Nassogne MC, de Lonlay P, Touati G. Clinical approach to inherited metabolic disorders in neonates: an overview. Semin Neonatol 2002; 7:3–15.

    Article  CAS  PubMed  Google Scholar 

  6. Schwartz IV, de Souza CF, Giugliani R. Treatment of inborn errors of metabolism. J Pediatr (Rio J). 2008;84(4 Suppl):S8–19.

    Google Scholar 

  7. Ruttimann UE, Patel KM, Pollack MM. Relevance of diagnostic diversity and patient volumes for quality and length of stay in pediatric intensive care units. Pediatr Crit Care Med 2000; 1:133–139.

    Article  CAS  PubMed  Google Scholar 

  8. Rao AN, Koch M, Kavitha J, Ghosh S, Kumar SV. Consanguinity and inborn errors of metabolism- an early impression. Perinatology 2008; 10:75–83.

    Google Scholar 

  9. Clarke JTR. A clinical guide to inherited metabolic diseases. 3rd ed. Cambridge: Cambridge University Press, 2006;1–27.

    Google Scholar 

  10. Hombal AG, Narvekar VN. Leigh’s disease (Subacute necrotizing ncephalomyelopathy). Ind J Radiol Imag 2005; 15:217–219.

    Article  Google Scholar 

  11. Ghosh D, Pradhan S. Antemortem Diagnosis of Leigh’s Disease: Role of Magnetic Resonance Studies. Indian J Pediatr 1996; 63:683–691.

    Article  CAS  PubMed  Google Scholar 

  12. Brismar J, Ozand P. CT and MR of the brain in glutaric academia type I. A review of 59 published cases and report of 5 new patients. Am J Neuroradiol 1995; 16:675–683.

    CAS  PubMed  Google Scholar 

  13. Salomons GS, Jakobs C, Landegge Pope L, Errami A, Potter M, Nowaczyk M et al. Clinical, enzymatic and molecular characterization of nine new patients with malonyl-coenzyme A decarboxylase deficiency. J Inherit Metab Dis 2007; 30:23–28.

    Article  CAS  PubMed  Google Scholar 

  14. Santer R, Fingerhut R, Lassker U, Wightman PJ, Fitzpatrick DR, Olgemoller B et al. Tandem Mass Spectrometric Determination of Malonylcarnitine:Diagnosis and Neonatal Screening of Malonyl-CoA Decarboxylase Deficiency. Clinical Chemistry 2003; 49:660–662.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mahesh Kamate.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kamate, M., Chetal, V., Kulgod, V. et al. Profile of inborn errors of metabolism in a tertiary care centre PICU. Indian J Pediatr 77, 57–60 (2010). https://doi.org/10.1007/s12098-010-0008-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-010-0008-2

Key words

Navigation