Neonatal Screening for Medium-Chain Acyl-CoA Deficiency—Insights and Unexpected Challenges

作者: Esther Maier

DOI: 10.3390/IJNS1030079

关键词: Incidence (epidemiology)Beneficial effectsMCADDScreening programsPathologyPediatricsClinical risk factorLower riskClinical significanceMedicineNewborn screening

摘要: With the implementation of tandem mass spectrometry (MS/MS), neonatal screening for medium-chain acyl-CoA dehydrogenase (MCADD) has been introduced in many programs worldwide. Together with phenylketonuria, MCADD is disorder most frequently diagnosed. Despite undeniable beneficial effects on morbidity and mortality, effectively exemplifies unexpected challenges increased diagnosis by programs. MS/MS-based revealed an at least 2-fold higher incidence than expected a considerable share individuals showing mild biochemical alterations and/or novel mutations unknown clinical significance. Whether these are lower risk to experience metabolic decompensations matter ongoing debate. Defining patients, stratifying them according their risk, adopting treatment protocols as yet unmet challenge MCADD.

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