Investigação diagnóstica de erros inatos do metabolismo em um hospital universitário

Objective: To establish the frequency of inborn errors of metabolism (IEM) in a cohort of patients with a diagnostic hypothesis of IEM, deriving from the Hospital das Clínicas da Faculdade de Medicina de Botucatu of UNESP and to analyse the methodology used for this investigation. Methods: 1,233 uri...

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Detalles Bibliográficos
Autores: Amâncio, Fátima Aparecida Mazzini [UNESP], Scalco, Fernanda Bertão, Coelho, Cláudio Antonio Rabello [UNESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2007
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:portugués
OAI Identifier:oai:repositorio.unesp.br:11449/224957
Acceso en línea:http://hdl.handle.net/11449/224957
Access Level:acceso abierto
Palabra clave:Inborn errors of metabolism
Screening
Descripción
Sumario:Objective: To establish the frequency of inborn errors of metabolism (IEM) in a cohort of patients with a diagnostic hypothesis of IEM, deriving from the Hospital das Clínicas da Faculdade de Medicina de Botucatu of UNESP and to analyse the methodology used for this investigation. Methods: 1,233 urine samples from 905 patients were screened for IEM by chemical tests and chromatographic techniques. Results: IEM were diagnosed in 18 patients; twelve of these showed alterations in the IEM screening procedures (chemical tests and chromatography). All the 18 patients were diagnosed by enzymatic analyses. Conclusion: The IEM frequency diagnosed in this study (1.98%) was reasonable, since this group of patients came from a single hospital. The methodology proved to be efficient, indicating 12 IEM cases among the 18 diagnosed. The study shows the importance of specialized laboratories for the detection of this kind of pathology.