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Pérez-López J, Ceberio-Hualde L, García-Morillo JS, Grau-Junyent JM, Hermida Ameijeiras A, López-Rodríguez M, Milisenda JC, Moltó Abad M, Morales-Conejo M, Nava Mateos JJ. Clinical characteristics of adult patients with inborn errors of metabolism in Spain: A review of 500 cases from university hospitals. Mol Genet Metab Rep 2017; 10:92-95. [PMID: 28224082 PMCID: PMC5310594 DOI: 10.1016/j.ymgmr.2017.01.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2016] [Revised: 01/26/2017] [Accepted: 01/26/2017] [Indexed: 11/29/2022] Open
Abstract
Patients with inborn errors of metabolism (IEMs) have become an emerging and challenging group in the adult healthcare system whose needs should be known in order to implement appropriate policies and to adapt adult clinical departments. We aimed to analyze the clinical characteristics of adult patients with IEMs who attend the most important Spanish hospitals caring for these conditions. A cohort study was conducted in 500 patients, categorized by metabolic subtype according to pathophysiological classification. The most prevalent group of IEMs was amino acid disorders, with 108 (21.6%) patients diagnosed with phenylketonuria. Lysosomal storage disorders were the second group, in which 32 (6.4%) and 25 (5%) patients had Fabry disease and Gaucher disease respectively. The great clinical heterogeneity, the significant delay in diagnosis after symptom onset, the existence of some degree of physical dependence in a great number of patients, the need for a multidisciplinary and coordinated approach, and the lack of specific drug treatment are common features in this group of conditions.
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Affiliation(s)
- J Pérez-López
- Errores Congénitos del Metabolismo del Adulto, Unidad de Enfermedades Minoritarias, Hospital Universitario Vall d'Hebron, CSUR de Errores Congénitos del Metabolismo, Barcelona, Spain
| | - L Ceberio-Hualde
- Servicio de Medicina Interna, Hospital Universitario de Cruces, CSUR de Errores Congénitos del Metabolismo, Baracaldo, Bizkaia, Spain
| | - J S García-Morillo
- Unidad de Enfermedades Minoritarias, Área de Medicina Interna en la Unidad Clínica de Atención Médica Integral (UCAMI), Hospital Virgen del Rocío, Sevilla, Spain
| | - J M Grau-Junyent
- Servicio de Medicina Interna, Grupo de Enfermedades Minoritarias, Hospital Clínic, CIBERER, Barcelona, Spain
| | - A Hermida Ameijeiras
- Unidad de Enfermedades Metabólicas Congénitas, Servicio de Medicina Interna, Hospital Clínico Universitario de Santiago, CSUR de Errores Congénitos del Metabolismo, Santiago de Compostela, Spain
| | - M López-Rodríguez
- Servicio de Medicina Interna, Hospital Central de la Cruz Roja, Madrid, Spain
| | - J C Milisenda
- Servicio de Medicina Interna, Grupo de Enfermedades Minoritarias, Hospital Clínic, CIBERER, Barcelona, Spain
| | - M Moltó Abad
- Errores Congénitos del Metabolismo del Adulto, Unidad de Enfermedades Minoritarias, Hospital Universitario Vall d'Hebron, CSUR de Errores Congénitos del Metabolismo, Barcelona, Spain
| | - M Morales-Conejo
- Servicio de Medicina Interna, Hospital Universitario 12 de Octubre, CSUR de Errores Congénitos del Metabolismo, Madrid, Spain
| | - J J Nava Mateos
- Servicio de Medicina Interna, Hospital Universitario Ramón y Cajal, CSUR de Errores Congénitos del Metabolismo, Madrid, Spain
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