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Inborn errors of metabolism

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was restriction of dietary protein and all other care was simply management of complications. In the past twenty years, new medications, enzyme replacement, gene therapy, and organ transplantation have become available and beneficial for many previously untreatable disorders. Some of the more common
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Navarrete-Martínez, Juana Inés; Limón-Rojas, Ana Elena; Gaytán-García, Maria de Jesús; Reyna-Figueroa, Jesús; Wakida-Kusunoki, Guillermo; Delgado-Calvillo, Ma. del Rocío; Cantú-Reyna, Consuelo; Cruz-Camino, Héctor; Cervantes-Barragán, David Eduardo (May 2017). "Newborn screening for six lysosomal
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Because of the enormous number of these diseases the wide range of systems affected badly, nearly every "presenting complaint" to a healthcare provider may have a congenital metabolic disease as a possible cause, especially in childhood and adolescence. The following are examples of potential
609:(detects excessive amounts of specific amino acids in blood) The dried blood spot can be used for multianalyte testing using Tandem Mass Spectrometry (MS/MS). This given an indication for a disorder. The same has to be further confirmed by enzyme assays, IEX-Ninhydrin, GC/MS or DNA Testing. 709:
A 2015 review reported that even with all these diagnostic tests, there are cases when "biochemical testing, gene sequencing, and enzymatic testing can neither confirm nor rule out an IEM, resulting in the need to rely on the patient's clinical course". A 2021 review showed that several
57:). In most of the disorders, problems arise due to accumulation of substances which are toxic or interfere with normal function, or due to the effects of reduced ability to synthesize essential compounds. Inborn errors of metabolism are often referred to as 4235: 4134: 4075: 115:. In recent decades, hundreds of new inherited disorders of metabolism have been discovered and the categories have proliferated. Following are some of the major classes of congenital metabolic diseases, with prominent examples of each class. 1509: 1490: 1467: 1407:
Torricelli, P; Antonelli, F; Ferorelli, P; Borromeo, I; Shevchenko, A; Lenzi, S; De Martino, A (March 2020). "Oral nutritional supplement prevents weight loss and reduces side effects in patients in advanced lung cancer chemotherapy".
3716: 4228: 3907: 4113: 4065: 4060: 4221: 1612: 568:-based technology with an integrated analytics system has now made it possible to test a newborn for over 100 mm genetic metabolic disorders. Because of the multiplicity of conditions, many different 3709: 4080: 3102: 3971: 3900: 3820: 3702: 2967: 3108: 2165: 3893: 1605: 869:, the overall incidence of the inborn errors of metabolism were estimated to be 40 per 100,000 live births or 1 in 2,500 births, overall representing more than approximately 15% of 3096: 221: 3536: 3264: 3090: 1799: 3757: 3484: 255: 3729: 244: 3176: 1598: 1590: 1118:
Geerdink, R.B; Niessen, W.M.A; Brinkman, U.A.Th (March 2001). "Mass spectrometric confirmation criterion for product-ion spectra generated in flow-injection analysis".
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Applegarth, Derek A.; Toone, Jennifer R.; Lowry, R. Brian (1 January 2000). "Incidence of Inborn Errors of Metabolism in British Columbia, 1969–1996".
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in the population. While a Mexican study established an overall incidence of 3.4:1,000 live newborns and a carrier detection of 6.8:1,000 NBS.
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neurometabolic disorders converge on common neurochemical mechanisms that interfere with biological mechanisms also considered central in
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storage disorders in a cohort of Mexican patients: Three-year findings from a screening program in a closed Mexican health system".
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are used for screening. An abnormal result is often followed by a subsequent "definitive test" to confirm the suspected diagnosis.
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pathophysiology and treatment. This highlights the importance of close collaboration between health services to avoid
4198: 3674: 2945: 4244: 3725: 3451: 3273: 2976: 2914: 2893: 2565: 2174: 2009: 1621: 310: 203: 3446: 289: 4366: 4173: 3590: 2919: 2809: 2526: 2498: 2266: 2069: 1933: 912: 154: 112: 65:. Another term used to describe these disorders is "enzymopathies". This term was created following the study of 3775: 320: 250: 4123: 3511: 3357: 3182: 2213: 2208: 2082: 1794: 1635: 1528: 952: 759: 715: 359: 159: 125: 50: 4252: 4213: 3566: 3380: 3321: 2714: 2379: 1715: 504: 4302: 4273: 3084: 2998: 2708: 2577: 2359: 1704: 841: 3834: 2863: 2298: 2114: 2014: 1764: 939: 870: 845: 540: 485: 66: 3644: 4168: 3966: 3388: 3301: 3297: 3055: 2724: 2674: 2429: 2186: 1153:
Vernon, Hilary J. (1 August 2015). "Inborn Errors of Metabolism: Advances in Diagnosis and Therapy".
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Intermediary metabolites, compounds, or drugs that facilitate or retard specific
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Specific diagnostic tests (or focused screening for a small set of disorders):
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Traditionally the inherited metabolic diseases were classified as disorders of
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In the middle of the 20th century the principal treatment for some of the
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disorders of enzyme activities. The majority are due to defects of single
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Cannon Homaei S, Barone H, Kleppe R, Betari N, Reif A, Haavik J (2021).
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E.g., reduction of dietary protein remains a mainstay of treatment for
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Manual of traditional radiographic technique, methodology and anatomy
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Manuale di tecnica, metodologia e anatomia radiografica tradizionali
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Skin biopsy and fibroblast cultivation for specific enzyme testing
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and enables normal growth and development in combination with a
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supplementation benefits several types of disorders that cause
77:(1857–1936), in 1908. He is known for work that prefigured the 560:
Dozens of congenital metabolic diseases are now detectable by
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Apparent mineralocorticoid excess syndrome/11β-dehydrogenase
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of cornstarch several times a day helps prevent people with
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tests, especially expanded testing using mass spectrometry.
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Hydrops-ectopic calcification-moth-eaten skeletal dysplasia
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Mitochondrial neurogastrointestinal encephalopathy syndrome
1946:(Pompe's disease, glucosidase deficiency, formerly GSD-IIa) 335:
manifestations affecting each of the major organ systems.
2057:(von Gierke's disease, glucose 6-phosphatase deficiency) 1902:(Hers' disease, liver glycogen phosphorylase deficiency) 998:"Inherited metabolic disorders - Symptoms and causes" 583:
Common screening tests used in the last sixty years:
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Medium-chain acyl-coenzyme A dehydrogenase deficiency
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were studied for the first time by British physician
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Fatal congenital nonlysosomal cardiac glycogenosis (
1449: 1056:] (in Italian). Elsevier srl. pp. 361–386. 4328: 4312: 4287: 4259: 4186: 4158: 4103: 4094: 4022: 4013: 3955: 3923: 3863: 3842: 3833: 3793: 3766: 3758:
Adenosine Monophosphate Deaminase Deficiency type 1
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Gunther disease/congenital erythropoietic porphyria
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Gas chromatography–mass spectrometry (GCMS) machine
49:that facilitate conversion of various substances ( 3177:3-hydroxyacyl-coenzyme A dehydrogenase deficiency 2001:(Tarui's disease, phosphofructokinase deficiency) 1851:(Andersen's disease, branching enzyme deficiency) 4296:Pantothenate kinase-associated neurodegeneration 1908:(McArdle's disease, myophosphorylase deficiency) 1376:Mazzucato, Fernando; Giovagnoni, Andrea (2019). 669:analysis by gas chromatography-mass spectrometry 3366:Lecithin cholesterol acyltransferase deficiency 2247:3-hydroxy-3-methylglutaryl-CoA lyase deficiency 1896:(Cori's disease, debranching enzyme deficiency) 3119:Mitochondrial trifunctional protein deficiency 2633:6-Pyruvoyltetrahydropterin synthase deficiency 4229: 3901: 3710: 3478: 3258: 2961: 2159: 1606: 8: 3785:Adenine phosphoribosyltransferase deficiency 2517:2-Methylbutyryl-CoA dehydrogenase deficiency 2078:Glucose-6-phosphate dehydrogenase deficiency 1054:Pediatrics: Principles and Clinical Practice 4140:17β-Hydroxysteroid dehydrogenase deficiency 2815:Carbamoyl phosphate synthetase I deficiency 2252:3-Methylcrotonyl-CoA carboxylase deficiency 2094:6-phosphogluconate dehydrogenase deficiency 198:Combined malonic and methylmalonic aciduria 170:Carbamoyl phosphate synthetase I deficiency 4236: 4222: 4214: 4135:3β-Hydroxysteroid dehydrogenase deficiency 4100: 4019: 3908: 3894: 3886: 3871:Dihydropyrimidine dehydrogenase deficiency 3839: 3806:Purine nucleoside phosphorylase deficiency 3742: 3717: 3703: 3695: 3630: 3522: 3485: 3471: 3463: 3353: 3312:Familial apoprotein CII deficiency/Type Ib 3265: 3251: 3243: 3073: 3012: 2968: 2954: 2946: 2776: 2620: 2607: 2476: 2384: 2317: 2303: 2195: 2166: 2152: 2144: 1977: 1881: 1830: 1749: 1739: 1652: 1613: 1599: 1591: 1450: 1345:Price, Nicholas C; Stevens, Lewis (1996). 166:Urea Cycle Disorder or Urea Cycle Defects 2026:Mitochondrial pyruvate carrier deficiency 1207: 175:Citrullinemia type II (citrin deficiency) 4149:Pseudovaginal perineoscrotal hypospadias 3327:Familial dysbetalipoproteinemia/Type III 1695:Inborn errors of renal tubular transport 875: 4044:Glucocorticoid remediable aldosteronism 2494:Isobutyryl-CoA dehydrogenase deficiency 972: 850:Treatment of symptoms and complications 751:Dietary supplementation or replacement 590:(detects abnormal metabolites in urine) 4320:Familial isolated vitamin E deficiency 3317:Familial hypercholesterolemia/Type IIa 1195:Neuroscience and Biobehavioral Reviews 1044:[Inborn errors of metabolism] 4279:Holocarboxylase synthetase deficiency 3332:Familial hypertriglyceridemia/Type IV 3307:Lipoprotein lipase deficiency/Type Ia 2830:Ornithine transcarbamylase deficiency 2825:N-Acetylglutamate synthase deficiency 1257: 1255: 1050:Pediatria: principi e Pratica clinica 271:lipoid congenital adrenal hyperplasia 7: 3141:2,4 Dienoyl-CoA reductase deficiency 2747:Dopamine beta hydroxylase deficiency 2005:Triosephosphate isomerase deficiency 1952:(LAMP2 deficiency, formerly GSD-IIb) 1253: 1251: 1249: 1247: 1245: 1243: 1241: 1239: 1237: 1235: 887:Disease involving amino acids (e.g. 647:gas chromatography–mass spectrometry 566:Gas chromatography–mass spectrometry 121:Disorders of carbohydrate metabolism 89:Classification of metabolic diseases 3917:Inborn errors of steroid metabolism 2583:Methylmalonyl-CoA mutase deficiency 2019:Phosphoglucose isomerase deficiency 1920:(PGM1-CDG, CDG1T, formerly GSD-XIV) 1087:Terapia delle malattie neurologiche 731:or promising therapies are listed: 638:patterns and quantitative analysis) 2050:Fructose bisphosphatase deficiency 2022:Phosphoglycerate kinase deficiency 1042:"Errori congeniti del metabolismo" 630:post-column derivitization liquid 25: 3753:Adenylosuccinate lyase deficiency 2335:Glutathione synthetase deficiency 1914:(phosphorylase kinase deficiency) 1308:Molecular Genetics and Metabolism 343:, failure to grow, loss of weight 3452:APOA1 familial renal amyloidosis 3322:Combined hyperlipidemia/Type IIb 1944:Glycogen storage disease type II 1353:] (in Italian). A. Delfino. 1167:10.1001/jamapediatrics.2015.0754 778:prevents the formation of toxic 79:"one gene–one enzyme" hypothesis 2985:fatty-acid metabolism disorders 2045:Pyruvate carboxylase deficiency 1855:Adult polyglucosan body disease 1690:Glucose-galactose malabsorption 1209:10.1016/j.neubiorev.2021.11.012 4341:Molybdenum cofactor deficiency 4336:Tetrahydrobiopterin deficiency 3801:Adenosine deaminase deficiency 3571:Hepatoerythropoietic porphyria 3123:Acute fatty liver of pregnancy 2638:Tetrahydrobiopterin deficiency 1845:(glycogen synthase deficiency) 276:congenital adrenal hyperplasia 1: 3620:Hereditary hyperbilirubinemia 3606:Erythropoietic protoporphyria 3399:Chylomicron retention disease 2883:Lysinuric protein intolerance 2257:3-Methylglutaconic aciduria 1 1918:Phosphoglucomutase deficiency 1586:Portal of Chemistry (Italian) 1132:10.1016/s0021-9673(00)01221-8 1085:Sghirlanzoni, Angelo (2010). 930:~3 to 4 per 100,000 of births 63:inherited metabolic disorders 59:congenital metabolic diseases 3947:Mevalonate kinase deficiency 3730:purine–pyrimidine metabolism 3542:Acute intermittent porphyria 3358:Hypoalphalipoproteinemia/HDL 2522:Beta-ketothiolase deficiency 2128:AMP-activated protein kinase 1384:] (in Italian). Piccin. 1040:Bartolozzi, Giorgio (2008). 1015:Garrod, Archibald E (1923). 612:Quantitative measurement of 237:acute intermittent porphyria 4362:Inborn errors of metabolism 3394:Apolipoprotein B deficiency 3381:Hypobetalipoproteinemia/LDL 2925:Ethylmalonic encephalopathy 1320:10.1016/j.ymgme.2017.03.001 1120:Journal of Chromatography A 1018:Inborn errors of metabolism 986:Inborn errors of metabolism 401:, lacking of pigmentation, 311:Lysosomal storage disorders 204:2-hydroxyglutaric acidurias 83:Inborn Errors of Metabolism 71:inborn errors of metabolism 31:Inborn errors of metabolism 4388: 4114:17α-Hydroxylase deficiency 3992:Smith–Lemli–Opitz syndrome 3982:Conradi–HĂĽnermann syndrome 2915:2-Hydroxyglutaric aciduria 2894:Oculocerebrorenal syndrome 2090:(Transketolase deficiency) 2010:Pyruvate kinase deficiency 1422:10.1007/s00726-020-02822-7 901:, or a urea cycle disease 113:lysosomal storage diseases 92: 4174:Aromatase excess syndrome 4145:5α-reductase 2 deficiency 3591:Hereditary coproporphyria 3421:Barraquer–Simons syndrome 2920:Aminoacylase 1 deficiency 2810:Argininosuccinic aciduria 2719:Hermansky–Pudlak syndrome 2527:Maple syrup urine disease 2499:Maple syrup urine disease 2267:Maple syrup urine disease 2070:Pentose phosphate pathway 1636:glycogen storage diseases 1095:10.1007/978-88-470-1120-5 913:Lysosomal storage disease 897:primary lactic acidosis, 881: 760:glycogen storage diseases 503:Unusual facial features, 155:maple syrup urine disease 85:, was published in 1923. 27:Class of genetic diseases 3935:HMG-CoA lyase deficiency 3227:Sjögren–Larsson syndrome 3183:Glutaric acidemia type 2 2209:Glutaric acidemia type 1 2083:Transaldolase deficiency 1351:Principles of enzymology 981:MedlinePlus Encyclopedia 953:Glycogen storage disease 938:Respiratory chain-based 762:from becoming seriously 505:congenital malformations 420:low red blood cell count 160:glutaric acidemia type 1 126:glycogen storage disease 3655:Lucey–Driscoll syndrome 3650:Crigler–Najjar syndrome 3567:Porphyria cutanea tarda 2715:Oculocutaneous albinism 1868:(glycogenin deficiency) 1716:Fanconi-Bickel syndrome 1626:carbohydrate metabolism 1347:Principi di enzimologia 4303:Methylmalonic acidemia 4274:Biotinidase deficiency 4199:Antley–Bixler syndrome 4119:17,20-Lyase deficiency 3675:Dubin–Johnson syndrome 3339:Xanthoma/Xanthomatosis 3085:Acyl CoA dehydrogenase 2999:Biotinidase deficiency 2834:translocase deficiency 2578:Methylmalonic acidemia 2360:Glycine encephalopathy 1705:Fructose malabsorption 1276:10.1542/peds.105.1.e10 957:2.3 per 100,000 births 828:Acid-alpha glucosidase 716:clinical overshadowing 580: 33:form a large class of 3835:Pyrimidine metabolism 2864:Solute carrier family 2179:amino acid metabolism 2115:Primary hyperoxaluria 2015:Aldolase A deficiency 1765:Essential fructosuria 1632:metabolism disorders 944:~3 per 100,000 births 940:mitochondrial disease 904:24 per 100,000 births 871:single gene disorders 846:organ transplantation 578: 541:adrenal insufficiency 509:Excessive breathing ( 486:myocardial infarction 403:excessive hair growth 290:Kearns–Sayre syndrome 67:biodynamic enzymology 4169:Aromatase deficiency 4076:CAH 3β-dehydrogenase 3967:7-Dehydrocholesterol 3776:Lesch–Nyhan syndrome 3528:early mitochondrial: 3496:metabolism disorders 3389:Abetalipoproteinemia 3302:Hypertriglyceridemia 3298:Hypercholesterolemia 3103:Long-chain 3-hydroxy 3056:Adrenoleukodystrophy 2725:Waardenburg syndrome 2675:Tyrosinemia type III 2430:Prolidase deficiency 1770:Fructose intolerance 1666:Congenital alactasia 926:Peroxisomal disorder 917:8 per 100,000 births 879:Type of inborn error 745:amino acid disorders 736:Dietary restriction 728:amino acid disorders 597:paper chromatography 588:Ferric chloride test 428:enlarged lymph nodes 408:Dental abnormalities 321:Niemann–Pick disease 251:Lesch–Nyhan syndrome 245:purine or pyrimidine 212:fatty acid oxidation 4329:Nonvitamin cofactor 4245:Metabolic disorders 4194:X-linked ichthyosis 4066:CAH 11β-hydroxylase 4061:CAH 17α-hydroxylase 3601:Variegate porphyria 3582:late mitochondrial: 3349:Hypolipoproteinemia 2930:Fumarase deficiency 2670:Tyrosinemia type II 2330:D-Glyceric acidemia 2285:Hypertryptophanemia 2262:Isovaleric acidemia 1671:Sucrose intolerance 519:Abnormal behavior, 515:respiratory failure 453:Excessive urination 360:Developmental delay 347:Ambiguous genitalia 95:Metabolic disorders 4081:CAH 21-hydroxylase 3942:Hyper-IgD syndrome 3768:Nucleotide salvage 3645:Gilbert's syndrome 3447:Lipoid proteinosis 3160:Propionic acidemia 2665:Tyrosinemia type I 2588:Propionic acidemia 2555:Hypermethioninemia 2224:Pipecolic acidemia 1718:(GLUT2 deficiency) 1712:(GLUT1 deficiency) 1544:External resources 854:Prenatal diagnosis 824:Enzyme replacement 814:metabolic pathways 784:Tyrosinemia Type I 782:for patients with 634:(detects abnormal 632:ion chromatography 599:(detects abnormal 581: 470:Low blood pressure 416:low platelet count 355:precocious puberty 330:Signs and symptoms 304:Zellweger syndrome 18:Metabolic Diseases 4349: 4348: 4251:, coenzymes, and 4211: 4210: 4207: 4206: 4182: 4181: 3883: 3882: 3879: 3878: 3829: 3828: 3738:Purine metabolism 3692: 3691: 3688: 3687: 3614: 3613: 3460: 3459: 3442:Adiposis dolorosa 3407: 3406: 3240: 3239: 3236: 3235: 3192: 3191: 2943: 2942: 2935:Trimethylaminuria 2845: 2844: 2841: 2840: 2765: 2764: 2761: 2760: 2596: 2595: 2460: 2459: 2407:Urocanic aciduria 2368: 2367: 2293: 2292: 2141: 2140: 2064: 2063: 2028:(MPC1 deficiency) 1963: 1962: 1959: 1958: 1816: 1815: 1812: 1811: 1725: 1724: 1581: 1580: 1391:978-88-299-2959-7 1360:978-88-7287-100-3 1104:978-88-470-1119-9 1063:978-88-214-3204-0 964: 963: 895:), organic acids, 657:mass spectrometry 562:newborn screening 549:diabetes mellitus 491:Liver enlargement 405:, lumps and bumps 316:Gaucher's disease 187:organic acidurias 16:(Redirected from 4379: 4367:Medical genetics 4238: 4231: 4224: 4215: 4101: 4020: 3910: 3903: 3896: 3887: 3840: 3743: 3719: 3712: 3705: 3696: 3668: 3638: 3631: 3596:Harderoporphyria 3584: 3555: 3530: 3523: 3487: 3480: 3473: 3464: 3354: 3278:lipid metabolism 3267: 3260: 3253: 3244: 3208:Malonic aciduria 3162:(PCC deficiency) 3074: 3013: 2981:lipid metabolism 2970: 2963: 2956: 2947: 2890:Fanconi syndrome 2777: 2753:Brunner syndrome 2621: 2608: 2545:Cystathioninuria 2477: 2385: 2318: 2304: 2196: 2168: 2161: 2154: 2145: 1978: 1937: 1887: 1882: 1831: 1788: 1758: 1750: 1740: 1699:Renal glycosuria 1653: 1615: 1608: 1601: 1592: 1451: 1441: 1403: 1372: 1332: 1331: 1302: 1296: 1295: 1259: 1230: 1229: 1211: 1185: 1179: 1178: 1150: 1144: 1143: 1115: 1109: 1108: 1082: 1076: 1075: 1047: 1037: 1031: 1030: 1012: 1006: 1005: 994: 988: 977: 876: 867:British Columbia 788:low-protein diet 570:diagnostic tests 533:weakness, cramps 511:hyperventilation 412:Immunodeficiency 256:AMPD1 Deficiency 75:Archibald Garrod 35:genetic diseases 21: 4387: 4386: 4382: 4381: 4380: 4378: 4377: 4376: 4352: 4351: 4350: 4345: 4324: 4308: 4283: 4255: 4242: 4212: 4203: 4178: 4154: 4127: 4090: 4026: 4009: 4005:Desmosterolosis 3987:Lathosterolosis 3951: 3926: 3919: 3914: 3884: 3875: 3859: 3855:Miller syndrome 3850:Orotic aciduria 3825: 3789: 3762: 3732: 3723: 3693: 3684: 3664: 3659: 3634: 3622: 3610: 3580: 3575: 3551: 3546: 3526: 3514: 3506: 3497: 3491: 3461: 3456: 3425: 3403: 3375: 3371:Tangier disease 3343: 3284: 3271: 3241: 3232: 3213: 3198: 3188: 3165: 3146: 3127: 3109:Very long-chain 3068: 3061: 3018: 3004: 2987: 2974: 2944: 2939: 2903: 2878:Iminoglycinuria 2873:Hartnup disease 2854: 2837: 2787: 2757: 2729: 2705:Ocular albinism 2683: 2642: 2625:Phenylketonuria 2592: 2559: 2531: 2503: 2470: 2456: 2434: 2425:Hyperprolinemia 2411: 2380:α-ketoglutarate 2378: 2364: 2355:GAMT deficiency 2289: 2271: 2233: 2229:Saccharopinuria 2202:/straight chain 2181: 2172: 2142: 2137: 2098: 2060: 2037:Gluconeogenesis 2031: 1955: 1928: 1923: 1886:Extralysosomal: 1885: 1871: 1808: 1804:GALE deficiency 1800:GALT deficiency 1795:GALK deficiency 1779: 1774: 1753: 1721: 1710:De Vivo Disease 1675: 1649:(extracellular) 1648: 1639: 1633: 1619: 1582: 1577: 1576: 1539: 1538: 1462: 1448: 1406: 1392: 1375: 1361: 1344: 1341: 1339:Further reading 1336: 1335: 1304: 1303: 1299: 1261: 1260: 1233: 1187: 1186: 1182: 1155:JAMA Pediatrics 1152: 1151: 1147: 1117: 1116: 1112: 1105: 1084: 1083: 1079: 1064: 1045: 1039: 1038: 1034: 1014: 1013: 1009: 996: 995: 991: 978: 974: 969: 896: 863: 858: 805:lactic acidosis 741:phenylketonuria 724: 558: 553: 424:enlarged spleen 351:delayed puberty 332: 327: 145:phenylketonuria 131:G6PD deficiency 111:metabolism, or 97: 91: 53:) into others ( 28: 23: 22: 15: 12: 11: 5: 4385: 4383: 4375: 4374: 4369: 4364: 4354: 4353: 4347: 4346: 4344: 4343: 4338: 4332: 4330: 4326: 4325: 4323: 4322: 4316: 4314: 4310: 4309: 4307: 4306: 4299: 4291: 4289: 4285: 4284: 4282: 4281: 4276: 4270: 4268: 4257: 4256: 4243: 4241: 4240: 4233: 4226: 4218: 4209: 4208: 4205: 4204: 4202: 4201: 4196: 4190: 4188: 4184: 4183: 4180: 4179: 4177: 4176: 4171: 4165: 4163: 4156: 4155: 4153: 4152: 4151: 4150: 4142: 4137: 4132: 4131: 4130: 4125: 4116: 4110: 4108: 4098: 4092: 4091: 4089: 4088: 4083: 4078: 4069: 4068: 4063: 4047: 4046: 4034: 4032: 4024:Corticosteroid 4017: 4011: 4010: 4008: 4007: 3995: 3994: 3989: 3984: 3979: 3977:CHILD syndrome 3974: 3962: 3960: 3953: 3952: 3950: 3949: 3944: 3938: 3937: 3931: 3929: 3921: 3920: 3915: 3913: 3912: 3905: 3898: 3890: 3881: 3880: 3877: 3876: 3874: 3873: 3867: 3865: 3861: 3860: 3858: 3857: 3852: 3846: 3844: 3837: 3831: 3830: 3827: 3826: 3824: 3823: 3818: 3813: 3808: 3803: 3797: 3795: 3791: 3790: 3788: 3787: 3782: 3772: 3770: 3764: 3763: 3761: 3760: 3755: 3749: 3747: 3740: 3734: 3733: 3724: 3722: 3721: 3714: 3707: 3699: 3690: 3689: 3686: 3685: 3683: 3682: 3680:Rotor syndrome 3677: 3671: 3669: 3661: 3660: 3658: 3657: 3652: 3647: 3641: 3639: 3628: 3616: 3615: 3612: 3611: 3609: 3608: 3603: 3598: 3593: 3587: 3585: 3577: 3576: 3574: 3573: 3564: 3558: 3556: 3548: 3547: 3545: 3544: 3539: 3537:ALAD porphyria 3533: 3531: 3520: 3512:erythropoietic 3499: 3498: 3492: 3490: 3489: 3482: 3475: 3467: 3458: 3457: 3455: 3454: 3449: 3444: 3439: 3433: 3431: 3427: 3426: 3424: 3423: 3417: 3415: 3409: 3408: 3405: 3404: 3402: 3401: 3396: 3391: 3385: 3383: 3377: 3376: 3374: 3373: 3368: 3362: 3360: 3351: 3345: 3344: 3342: 3341: 3336: 3335: 3334: 3329: 3324: 3319: 3314: 3309: 3294: 3292: 3290:Hyperlipidemia 3286: 3285: 3272: 3270: 3269: 3262: 3255: 3247: 3238: 3237: 3234: 3233: 3231: 3230: 3223: 3221: 3215: 3214: 3212: 3211: 3204: 3202: 3194: 3193: 3190: 3189: 3187: 3186: 3180: 3173: 3171: 3167: 3166: 3164: 3163: 3156: 3154: 3148: 3147: 3145: 3144: 3137: 3135: 3129: 3128: 3126: 3125: 3115: 3114: 3113: 3112: 3106: 3100: 3094: 3080: 3078: 3071: 3063: 3062: 3060: 3059: 3053: 3052: 3051: 3046: 3041: 3036: 3023: 3021: 3010: 3006: 3005: 3003: 3002: 2995: 2993: 2989: 2988: 2975: 2973: 2972: 2965: 2958: 2950: 2941: 2940: 2938: 2937: 2932: 2927: 2922: 2917: 2911: 2909: 2905: 2904: 2902: 2901: 2896: 2886: 2885: 2880: 2875: 2870: 2860: 2858: 2847: 2846: 2843: 2842: 2839: 2838: 2836: 2827: 2822: 2817: 2812: 2807: 2802: 2800: 2799: 2798: 2785:Hyperammonemia 2774: 2767: 2766: 2763: 2762: 2759: 2758: 2756: 2755: 2749: 2743: 2741: 2739:Norepinephrine 2731: 2730: 2728: 2727: 2722: 2712: 2697: 2695: 2685: 2684: 2682: 2681: 2672: 2667: 2662: 2652: 2650: 2644: 2643: 2641: 2640: 2635: 2629: 2627: 2618: 2605: 2598: 2597: 2594: 2593: 2591: 2590: 2585: 2580: 2574: 2572: 2561: 2560: 2558: 2557: 2552: 2550:Homocystinuria 2547: 2541: 2539: 2533: 2532: 2530: 2529: 2524: 2519: 2513: 2511: 2505: 2504: 2502: 2501: 2496: 2491: 2489:Hypervalinemia 2485: 2483: 2474: 2462: 2461: 2458: 2457: 2455: 2454: 2448: 2446: 2436: 2435: 2433: 2432: 2427: 2421: 2419: 2413: 2412: 2410: 2409: 2404: 2399: 2393: 2391: 2382: 2370: 2369: 2366: 2365: 2363: 2362: 2357: 2343: 2342: 2337: 2332: 2326: 2324: 2315: 2301: 2295: 2294: 2291: 2290: 2288: 2287: 2281: 2279: 2273: 2272: 2270: 2269: 2264: 2259: 2254: 2249: 2243: 2241: 2235: 2234: 2232: 2231: 2226: 2221: 2219:Hyperlysinemia 2216: 2211: 2205: 2203: 2193: 2183: 2182: 2173: 2171: 2170: 2163: 2156: 2148: 2139: 2138: 2136: 2135: 2124: 2119: 2118: 2117: 2106: 2104: 2100: 2099: 2097: 2096: 2091: 2085: 2080: 2074: 2072: 2066: 2065: 2062: 2061: 2059: 2058: 2052: 2047: 2041: 2039: 2033: 2032: 2030: 2029: 2023: 2020: 2017: 2012: 2007: 2002: 1996: 1986: 1984: 1975: 1965: 1964: 1961: 1960: 1957: 1956: 1954: 1953: 1947: 1940: 1938: 1925: 1924: 1922: 1921: 1915: 1909: 1903: 1897: 1890: 1888: 1879: 1877:Glycogenolysis 1873: 1872: 1870: 1869: 1863: 1861:Lafora disease 1858: 1852: 1846: 1839: 1837: 1828: 1818: 1817: 1814: 1813: 1810: 1809: 1807: 1806: 1797: 1791: 1789: 1776: 1775: 1773: 1772: 1767: 1761: 1759: 1747: 1744:Monosaccharide 1737: 1727: 1726: 1723: 1722: 1720: 1719: 1713: 1707: 1702: 1692: 1686: 1684: 1681:Monosaccharide 1677: 1676: 1674: 1673: 1668: 1662: 1660: 1650: 1641: 1640: 1630:monosaccharide 1620: 1618: 1617: 1610: 1603: 1595: 1589: 1588: 1579: 1578: 1575: 1574: 1572:article/804757 1560: 1548: 1547: 1545: 1541: 1540: 1537: 1536: 1525: 1506: 1487: 1463: 1458: 1457: 1455: 1454:Classification 1447: 1446:External links 1444: 1443: 1442: 1416:(3): 445–451. 1404: 1390: 1373: 1359: 1340: 1337: 1334: 1333: 1297: 1231: 1180: 1161:(8): 778–782. 1145: 1126:(2): 291–300. 1110: 1103: 1077: 1062: 1032: 1007: 989: 971: 970: 968: 965: 962: 961: 958: 955: 949: 948: 945: 942: 935: 934: 931: 928: 922: 921: 918: 915: 909: 908: 905: 902: 884: 883: 880: 865:In a study in 862: 859: 857: 856: 851: 848: 839: 834: 821: 816: 810: 809: 808: 792: 791: 790: 769: 768: 767: 756:oral ingestion 749: 748: 747: 733: 723: 720: 707: 706: 700: 697: 671: 670: 659: 649: 639: 624: 610: 604: 591: 557: 554: 552: 551: 537:Hypothyroidism 534: 527: 517: 507: 501: 488: 478:enlarged heart 467: 457:kidney failure 450: 448:abdominal pain 436: 432:Many forms of 430: 409: 406: 391: 378: 372:encephalopathy 357: 344: 341:Growth failure 337: 331: 328: 326: 325: 324: 323: 318: 308: 307: 306: 294: 293: 292: 280: 279: 278: 273: 261: 260: 259: 253: 241: 240: 239: 227: 226: 225: 208: 207: 206: 201: 195: 179: 178: 177: 172: 164: 163: 162: 157: 152: 147: 135: 134: 133: 128: 117: 90: 87: 45:that code for 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4384: 4373: 4370: 4368: 4365: 4363: 4360: 4359: 4357: 4342: 4339: 4337: 4334: 4333: 4331: 4327: 4321: 4318: 4317: 4315: 4313:Other vitamin 4311: 4304: 4300: 4297: 4293: 4292: 4290: 4286: 4280: 4277: 4275: 4272: 4271: 4269: 4267: 4263: 4258: 4254: 4250: 4246: 4239: 4234: 4232: 4227: 4225: 4220: 4219: 4216: 4200: 4197: 4195: 4192: 4191: 4189: 4185: 4175: 4172: 4170: 4167: 4166: 4164: 4162: 4157: 4148: 4147: 4146: 4143: 4141: 4138: 4136: 4133: 4129: 4122: 4121: 4120: 4117: 4115: 4112: 4111: 4109: 4107: 4102: 4099: 4097: 4093: 4087: 4084: 4082: 4079: 4077: 4074: 4071: 4070: 4067: 4064: 4062: 4059: 4057: 4053: 4049: 4048: 4045: 4042: 4040: 4036: 4035: 4033: 4030: 4025: 4021: 4018: 4016: 4012: 4006: 4003: 4001: 3997: 3996: 3993: 3990: 3988: 3985: 3983: 3980: 3978: 3975: 3973: 3970: 3968: 3964: 3963: 3961: 3959: 3954: 3948: 3945: 3943: 3940: 3939: 3936: 3933: 3932: 3930: 3928: 3922: 3918: 3911: 3906: 3904: 3899: 3897: 3892: 3891: 3888: 3872: 3869: 3868: 3866: 3862: 3856: 3853: 3851: 3848: 3847: 3845: 3841: 3838: 3836: 3832: 3822: 3819: 3817: 3814: 3812: 3809: 3807: 3804: 3802: 3799: 3798: 3796: 3792: 3786: 3783: 3781: 3780:Hyperuricemia 3777: 3774: 3773: 3771: 3769: 3765: 3759: 3756: 3754: 3751: 3750: 3748: 3744: 3741: 3739: 3735: 3731: 3727: 3720: 3715: 3713: 3708: 3706: 3701: 3700: 3697: 3681: 3678: 3676: 3673: 3672: 3670: 3667: 3662: 3656: 3653: 3651: 3648: 3646: 3643: 3642: 3640: 3637: 3636:unconjugated: 3632: 3629: 3626: 3621: 3617: 3607: 3604: 3602: 3599: 3597: 3594: 3592: 3589: 3588: 3586: 3583: 3578: 3572: 3568: 3565: 3563: 3560: 3559: 3557: 3554: 3549: 3543: 3540: 3538: 3535: 3534: 3532: 3529: 3524: 3521: 3518: 3513: 3509: 3504: 3500: 3495: 3488: 3483: 3481: 3476: 3474: 3469: 3468: 3465: 3453: 3450: 3448: 3445: 3443: 3440: 3438: 3435: 3434: 3432: 3428: 3422: 3419: 3418: 3416: 3414: 3413:Lipodystrophy 3410: 3400: 3397: 3395: 3392: 3390: 3387: 3386: 3384: 3382: 3378: 3372: 3369: 3367: 3364: 3363: 3361: 3359: 3355: 3352: 3350: 3346: 3340: 3337: 3333: 3330: 3328: 3325: 3323: 3320: 3318: 3315: 3313: 3310: 3308: 3305: 3304: 3303: 3299: 3296: 3295: 3293: 3291: 3287: 3283: 3279: 3275: 3268: 3263: 3261: 3256: 3254: 3249: 3248: 3245: 3228: 3225: 3224: 3222: 3220: 3216: 3209: 3206: 3205: 3203: 3201: 3195: 3184: 3181: 3178: 3175: 3174: 3172: 3168: 3161: 3158: 3157: 3155: 3153: 3149: 3142: 3139: 3138: 3136: 3134: 3130: 3124: 3120: 3117: 3116: 3110: 3107: 3104: 3101: 3098: 3095: 3092: 3089: 3088: 3087: 3086: 3082: 3081: 3079: 3075: 3072: 3070: 3064: 3057: 3054: 3050: 3047: 3045: 3042: 3040: 3037: 3035: 3032: 3031: 3030: 3029: 3025: 3024: 3022: 3020: 3014: 3011: 3007: 3000: 2997: 2996: 2994: 2990: 2986: 2982: 2978: 2971: 2966: 2964: 2959: 2957: 2952: 2951: 2948: 2936: 2933: 2931: 2928: 2926: 2923: 2921: 2918: 2916: 2913: 2912: 2910: 2906: 2900: 2897: 2895: 2891: 2888: 2887: 2884: 2881: 2879: 2876: 2874: 2871: 2869: 2865: 2862: 2861: 2859: 2857: 2852: 2848: 2835: 2831: 2828: 2826: 2823: 2821: 2820:Citrullinemia 2818: 2816: 2813: 2811: 2808: 2806: 2803: 2801: 2796: 2793: 2792: 2791: 2786: 2782: 2778: 2775: 2773: 2768: 2754: 2750: 2748: 2745: 2744: 2742: 2740: 2736: 2732: 2726: 2723: 2720: 2716: 2713: 2710: 2706: 2702: 2699: 2698: 2696: 2694: 2690: 2686: 2680: 2679:Hawkinsinuria 2676: 2673: 2671: 2668: 2666: 2663: 2661: 2657: 2654: 2653: 2651: 2649: 2645: 2639: 2636: 2634: 2631: 2630: 2628: 2626: 2622: 2619: 2617: 2613: 2612:Phenylalanine 2609: 2606: 2604: 2599: 2589: 2586: 2584: 2581: 2579: 2576: 2575: 2573: 2571: 2567: 2562: 2556: 2553: 2551: 2548: 2546: 2543: 2542: 2540: 2538: 2534: 2528: 2525: 2523: 2520: 2518: 2515: 2514: 2512: 2510: 2506: 2500: 2497: 2495: 2492: 2490: 2487: 2486: 2484: 2482: 2478: 2475: 2473: 2468: 2467:propionyl-CoA 2463: 2453: 2450: 2449: 2447: 2445: 2441: 2437: 2431: 2428: 2426: 2423: 2422: 2420: 2418: 2414: 2408: 2405: 2403: 2400: 2398: 2395: 2394: 2392: 2390: 2386: 2383: 2381: 2376: 2371: 2361: 2358: 2356: 2352: 2348: 2345: 2344: 2341: 2338: 2336: 2333: 2331: 2328: 2327: 2325: 2323: 2319: 2316: 2314: 2310: 2305: 2302: 2300: 2296: 2286: 2283: 2282: 2280: 2278: 2274: 2268: 2265: 2263: 2260: 2258: 2255: 2253: 2250: 2248: 2245: 2244: 2242: 2240: 2236: 2230: 2227: 2225: 2222: 2220: 2217: 2215: 2212: 2210: 2207: 2206: 2204: 2201: 2197: 2194: 2192: 2188: 2184: 2180: 2176: 2169: 2164: 2162: 2157: 2155: 2150: 2149: 2146: 2133: 2129: 2125: 2123: 2120: 2116: 2113: 2112: 2111: 2110:Hyperoxaluria 2108: 2107: 2105: 2101: 2095: 2092: 2089: 2086: 2084: 2081: 2079: 2076: 2075: 2073: 2071: 2067: 2056: 2053: 2051: 2048: 2046: 2043: 2042: 2040: 2038: 2034: 2027: 2024: 2021: 2018: 2016: 2013: 2011: 2008: 2006: 2003: 2000: 1997: 1995: 1991: 1988: 1987: 1985: 1983: 1979: 1976: 1974: 1970: 1966: 1951: 1950:Danon disease 1948: 1945: 1942: 1941: 1939: 1935: 1931: 1926: 1919: 1916: 1913: 1910: 1907: 1904: 1901: 1898: 1895: 1892: 1891: 1889: 1883: 1880: 1878: 1874: 1867: 1864: 1862: 1859: 1856: 1853: 1850: 1847: 1844: 1841: 1840: 1838: 1836: 1832: 1829: 1827: 1823: 1819: 1805: 1801: 1798: 1796: 1793: 1792: 1790: 1786: 1782: 1777: 1771: 1768: 1766: 1763: 1762: 1760: 1756: 1751: 1748: 1745: 1741: 1738: 1736: 1732: 1728: 1717: 1714: 1711: 1708: 1706: 1703: 1700: 1696: 1693: 1691: 1688: 1687: 1685: 1682: 1678: 1672: 1669: 1667: 1664: 1663: 1661: 1658: 1654: 1651: 1646: 1642: 1637: 1631: 1627: 1623: 1616: 1611: 1609: 1604: 1602: 1597: 1596: 1593: 1587: 1584: 1583: 1573: 1570: 1566: 1565: 1561: 1559: 1555: 1554: 1550: 1549: 1546: 1542: 1535: 1531: 1530: 1526: 1524: 1520: 1516: 1515: 1511: 1507: 1505: 1501: 1497: 1496: 1492: 1488: 1486: 1482: 1478: 1474: 1473: 1469: 1465: 1464: 1461: 1456: 1452: 1445: 1439: 1435: 1431: 1427: 1423: 1419: 1415: 1411: 1405: 1401: 1397: 1393: 1387: 1383: 1379: 1374: 1370: 1366: 1362: 1356: 1352: 1348: 1343: 1342: 1338: 1329: 1325: 1321: 1317: 1313: 1309: 1301: 1298: 1293: 1289: 1285: 1281: 1277: 1273: 1269: 1265: 1258: 1256: 1254: 1252: 1250: 1248: 1246: 1244: 1242: 1240: 1238: 1236: 1232: 1227: 1223: 1219: 1215: 1210: 1205: 1201: 1197: 1196: 1191: 1184: 1181: 1176: 1172: 1168: 1164: 1160: 1156: 1149: 1146: 1141: 1137: 1133: 1129: 1125: 1121: 1114: 1111: 1106: 1100: 1096: 1092: 1088: 1081: 1078: 1073: 1069: 1065: 1059: 1055: 1051: 1043: 1036: 1033: 1028: 1024: 1020: 1019: 1011: 1008: 1003: 999: 993: 990: 987: 983: 982: 976: 973: 966: 959: 956: 954: 951: 950: 946: 943: 941: 937: 936: 933:~1 in 30,000 932: 929: 927: 924: 923: 919: 916: 914: 911: 910: 906: 903: 900: 894: 890: 886: 885: 878: 877: 874: 872: 868: 860: 855: 852: 849: 847: 843: 840: 838: 835: 833: 832:Pompe disease 829: 825: 822: 820: 817: 815: 811: 806: 802: 798: 797: 796: 793: 789: 785: 781: 777: 773: 772: 770: 765: 761: 757: 753: 752: 750: 746: 742: 738: 737: 735: 734: 732: 729: 721: 719: 717: 713: 705: 701: 698: 696: 692: 688: 684: 680: 676: 675: 674: 668: 664: 660: 658: 654: 653:acylcarnitine 650: 648: 644: 640: 637: 633: 629: 625: 623: 619: 615: 611: 608: 605: 602: 598: 595: 592: 589: 586: 585: 584: 577: 573: 571: 567: 563: 555: 550: 546: 542: 538: 535: 532: 528: 526: 522: 518: 516: 512: 508: 506: 502: 500: 499:liver failure 496: 492: 489: 487: 483: 479: 475: 474:heart failure 471: 468: 466: 462: 458: 454: 451: 449: 445: 441: 437: 435: 431: 429: 425: 421: 417: 413: 410: 407: 404: 400: 396: 392: 390: 386: 382: 379: 377: 373: 369: 365: 361: 358: 356: 352: 348: 345: 342: 339: 338: 336: 329: 322: 319: 317: 314: 313: 312: 309: 305: 302: 301: 299: 296:Disorders of 295: 291: 288: 287: 285: 284:mitochondrial 282:Disorders of 281: 277: 274: 272: 269: 268: 266: 263:Disorders of 262: 257: 254: 252: 249: 248: 246: 243:Disorders of 242: 238: 235: 234: 232: 229:Disorders of 228: 223: 220: 219: 217: 216:mitochondrial 213: 210:Disorders of 209: 205: 202: 199: 196: 194: 191: 190: 188: 184: 181:Disorders of 180: 176: 173: 171: 168: 167: 165: 161: 158: 156: 153: 151: 148: 146: 143: 142: 140: 137:Disorders of 136: 132: 129: 127: 124: 123: 122: 119: 118: 116: 114: 110: 106: 102: 96: 88: 86: 84: 80: 76: 72: 68: 64: 60: 56: 52: 48: 44: 40: 36: 32: 19: 4124:Cytochrome b 4072: 4050: 4037: 3998: 3965: 3726:Inborn error 3665: 3635: 3581: 3553:cytoplasmic: 3552: 3527: 3282:dyslipidemia 3274:Inborn error 3097:Medium-chain 3083: 3026: 2977:Inborn error 2772:oxaloacetate 2656:Alkaptonuria 2472:succinyl-CoA 2402:Histidinemia 2397:Carnosinemia 2340:Sarcosinemia 2175:Inborn error 2130:deficiency, 1999:GSD type VII 1894:GSD type III 1835:Glycogenesis 1785:galactosemia 1657:Disaccharide 1622:Inborn error 1562: 1551: 1527: 1508: 1489: 1466: 1413: 1409: 1381: 1377: 1350: 1346: 1314:(1): 16–21. 1311: 1307: 1300: 1267: 1263: 1199: 1193: 1183: 1158: 1154: 1148: 1123: 1119: 1113: 1086: 1080: 1053: 1049: 1035: 1017: 1010: 1001: 992: 979: 975: 960:1 in 43,000 947:1 in 33,000 920:1 in 12,500 899:galactosemia 864: 861:Epidemiology 837:Gene therapy 771:Medications 764:hypoglycemic 725: 708: 672: 655:analysis by 645:analysis by 643:organic acid 607:Guthrie test 582: 559: 545:hypogonadism 529:Joint pain, 482:hypertension 399:pigmentation 389:pain agnosia 333: 193:alkaptonuria 185:metabolism ( 183:organic acid 109:organic acid 107:metabolism, 103:metabolism, 101:carbohydrate 98: 82: 70: 62: 58: 30: 29: 4096:Sex steroid 4039:aldosterone 4027:(including 4000:desmosterol 3958:cholesterol 3811:Xanthinuria 3666:conjugated: 3437:Lipomatosis 3133:Unsaturated 3091:Short-chain 3009:Degradation 2805:Argininemia 2648:Tyrosinemia 1912:GSD type IX 1900:GSD type VI 1866:GSD type XV 1849:GSD type IV 1647:, transport 1553:MedlinePlus 1410:Amino Acids 1202:: 838–856. 1002:Mayo Clinic 907:1 in 4,200 893:Tyrosinemia 842:Bone marrow 780:metabolites 704:DNA testing 695:bone marrow 614:amino acids 461:dehydration 397:, abnormal 298:peroxisomal 267:metabolism 247:metabolism 233:metabolism 218:metabolism 150:tyrosinemia 141:metabolism 4372:Metabolism 4356:Categories 4128:deficiency 3925:Mevalonate 3864:Catabolism 3794:Catabolism 3200:acetyl-CoA 2899:Cystinosis 2868:Cystinuria 2781:Urea cycle 2660:Ochronosis 2537:Methionine 2509:Isoleucine 2277:Tryptophan 2191:acetyl-CoA 2122:Pentosuria 2055:GSD type I 1982:Glycolysis 1906:GSD type V 1843:GSD type 0 1746:catabolism 1659:catabolism 1634:Including 1400:1141547603 1270:(1): e10. 1264:Pediatrics 1027:1159473729 967:References 882:Incidence 776:Nitisinone 743:and other 667:pyrimidine 636:amino acid 601:amino acid 556:Diagnostic 521:depression 438:Recurrent 139:amino acid 105:amino acid 93:See also: 51:substrates 39:congenital 37:involving 4253:cofactors 4161:estrogens 4106:androgens 4056:cortisone 3843:Anabolism 3746:Anabolism 3625:bilirubin 3517:porphyrin 3503:Porphyria 3152:Odd chain 3069:oxidation 3028:Carnitine 3019:transport 2992:Synthesis 2856:IE of RTT 2851:Transport 2795:aspartate 2751:reverse: 2444:glutamine 2440:Glutamate 2389:Histidine 2375:glutamate 1930:Lysosomal 1781:Galactose 1683:transport 1569:emerg/768 1564:eMedicine 1438:211053578 1369:879866185 1226:243983688 1072:884592549 722:Treatment 702:Specific 628:Ninhydrin 603:patterns) 594:Ninhydrin 525:psychosis 385:blindness 300:function 286:function 231:porphyrin 4249:vitamins 4052:cortisol 4015:Steroids 3219:Aldehyde 3121:(MTPD): 2790:arginine 2735:Tyrosine 2701:Albinism 2689:Tyrosine 2616:tyrosine 2603:fumarate 2564:General 2351:Creatine 2309:pyruvate 1826:glycogen 1755:Fructose 1430:32034492 1328:28302345 1292:30266513 1284:10617747 1218:34774900 1175:26075348 1140:11261724 819:Dialysis 801:thiamine 795:Vitamins 495:jaundice 444:diarrhea 440:vomiting 381:Deafness 368:dementia 364:seizures 200:(CMAMMA) 55:products 4288:Other B 3927:pathway 3508:hepatic 3179:(HADHD) 3143:(DECRD) 3077:General 2693:Melanin 2417:Proline 2347:Glycine 2322:Glycine 2313:citrate 2239:Leucine 1969:Glucose 1822:Glucose 1735:glucose 1645:Sucrose 1534:D008661 677:Tissue 651:Plasma 265:steroid 224:(MCADD) 47:enzymes 4262:Biotin 3185:(MADD) 3111:VLCADD 2481:Valine 2452:SSADHD 2214:type 2 2200:Lysine 2132:PRKAG2 1990:MODY 2 1857:(APBD) 1731:Hexose 1558:002438 1436:  1428:  1398:  1388:  1367:  1357:  1326:  1290:  1282:  1224:  1216:  1173:  1138:  1101:  1070:  1060:  1025:  799:E.g., 774:E.g., 754:E.g., 687:muscle 679:biopsy 663:purine 661:Urine 641:Urine 618:plasma 531:muscle 434:cancer 376:stroke 258:(MADD) 4301:B12 ( 4187:Other 4073:both: 4002:path: 3969:path: 3430:Other 3229:(SLS) 3210:(MCD) 3170:Other 3105:LCHAD 3099:MCADD 3093:SCADD 3058:(ALD) 3049:CACTD 3001:(BTD) 2908:Other 2103:Other 2088:SDDHD 1638:(GSD) 1434:S2CID 1380:[ 1349:[ 1288:S2CID 1222:S2CID 1052:[ 1046:(PDF) 826:E.g. 691:brain 683:liver 622:urine 465:edema 393:Skin 43:genes 4294:B5 ( 3816:Gout 3728:of 3510:and 3494:Heme 3276:of 3067:Beta 3044:CDSP 3039:CPT2 3034:CPT1 3017:Acyl 1994:HHF3 1529:MeSH 1514:9-CM 1485:5C5A 1481:5C59 1477:5C50 1426:PMID 1396:OCLC 1386:ISBN 1365:OCLC 1355:ISBN 1324:PMID 1280:PMID 1214:PMID 1171:PMID 1136:PMID 1099:ISBN 1068:OCLC 1058:ISBN 1023:OCLC 830:for 712:ADHD 665:and 626:IEX- 620:and 395:rash 214:and 4266:MCD 4260:B7 4247:of 4159:To 4104:To 4029:CAH 3956:To 2979:of 2177:of 1973:CAC 1934:LSD 1624:of 1523:279 1519:270 1510:ICD 1504:E90 1500:E70 1491:ICD 1468:ICD 1418:doi 1316:doi 1312:121 1272:doi 1268:105 1204:doi 1200:132 1163:doi 1159:169 1128:doi 1124:910 1091:doi 889:PKU 844:or 616:in 513:), 61:or 4358:: 3280:: 3197:To 2983:: 2892:: 2866:: 2770:G→ 2703:: 2601:G→ 2570:OA 2566:BC 2465:G→ 2373:G→ 2353:: 2307:G→ 1971:⇄ 1936:): 1824:⇄ 1783:/ 1733:→ 1628:: 1567:: 1556:: 1532:: 1517:: 1498:: 1495:10 1483:, 1475:: 1472:11 1432:. 1424:. 1414:52 1412:. 1394:. 1363:. 1322:. 1310:. 1286:. 1278:. 1266:. 1234:^ 1220:. 1212:. 1198:. 1192:. 1169:. 1157:. 1134:. 1122:. 1097:. 1089:. 1066:. 1048:. 1021:. 1000:. 984:: 891:, 718:. 693:, 689:, 685:, 681:: 547:, 543:, 539:, 523:, 497:, 493:, 484:, 480:, 476:, 472:, 463:, 459:, 455:, 446:, 442:, 426:, 422:, 418:, 414:, 387:, 383:, 374:, 370:, 366:, 362:, 353:, 349:, 189:) 4305:) 4298:) 4264:/ 4237:e 4230:t 4223:v 4126:5 4058:: 4054:/ 4041:: 4031:) 3909:e 3902:t 3895:v 3778:/ 3718:e 3711:t 3704:v 3627:) 3623:( 3569:/ 3519:) 3515:( 3505:, 3486:e 3479:t 3472:v 3300:/ 3266:e 3259:t 3252:v 2969:e 2962:t 2955:v 2853:/ 2832:/ 2797:) 2788:( 2783:/ 2737:→ 2721:) 2717:( 2711:) 2709:1 2707:( 2691:→ 2677:/ 2658:/ 2614:/ 2568:/ 2469:→ 2442:/ 2377:→ 2349:→ 2311:→ 2299:G 2189:→ 2187:K 2167:e 2160:t 2153:v 2134:) 1992:/ 1932:( 1802:/ 1787:: 1757:: 1701:) 1697:( 1614:e 1607:t 1600:v 1521:- 1512:- 1502:- 1493:- 1479:- 1470:- 1460:D 1440:. 1420:: 1402:. 1371:. 1330:. 1318:: 1294:. 1274:: 1228:. 1206:: 1177:. 1165:: 1142:. 1130:: 1107:. 1093:: 1074:. 1029:. 1004:. 807:. 766:. 20:)

Index

Metabolic Diseases
genetic diseases
congenital
genes
enzymes
substrates
products
biodynamic enzymology
Archibald Garrod
"one gene–one enzyme" hypothesis
Metabolic disorders
carbohydrate
amino acid
organic acid
lysosomal storage diseases
Disorders of carbohydrate metabolism
glycogen storage disease
G6PD deficiency
amino acid
phenylketonuria
tyrosinemia
maple syrup urine disease
glutaric acidemia type 1
Carbamoyl phosphate synthetase I deficiency
Citrullinemia type II (citrin deficiency)
organic acid
organic acidurias
alkaptonuria
Combined malonic and methylmalonic aciduria
2-hydroxyglutaric acidurias

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