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12 Cards in this Set

  • Front
  • Back
genetic disorder that is treated w a special diet
galactosemia
if found in maternal serum it indicates Downs Synd
low alpha feto protein
what substance do you measure to determine tyrosinemia type I
succinyl acetone
the percentage of pt w genetic defect BRCA1 that develop breast cancer
5%
high incidence in ashkenazi jew
in the article "burden of knowledge" which diseases or conditions led to the termination of the pregnancy
klinefelter
cornelia de lange
extra digit
downs synd
male sex
AD
test: MS/MS
tx w restriction and tyrosine supp
tx.KUVAN: a BH4 essential cofactor for PH enzyme
PKU
tx. phenylalanine restriction
deficiency in phenylalanine hydroxylase
ARes
presents 2 wk after birth: jaundice, hepatomegaly, poor feeding. Accumulation of this subs. can damage brain, liver, kidney, rapidly fatal.
tx- feed w soy formular
galactosemia
it starts after milk feedings
complete deficiency if GALT
galactose 1 phosphate uridyl transferase
european
relatively well child w lethargy and encephalopathy at times of CH fasting
- can evolve to hyperammonemia and MetAci-> brain damage
DX. Mass spectrophotometry
Tx avoid fasting, avoid Med-Long chain FA intake
MCADD
med.chain,acylcoA.dehydrogenase def.
- fatty acid b oxidation disorder
- cant break FA of med chain
family disorder, ARes
female looks, masculine
ext genitaia and gonads are normal
w/o tx: rapid growth, precocious puberty, short stature, if severe salt wasting
path: CYP21 mutation
test: 17 hydroxyprogesterone is elevated bc it cant be converted to cortisol-> ACTH inc->
21 hydroxylase deficiency
congenital adrenal hyperplasia
Ares
NY implemented testing in 2007
it is caused by a def FAH. marker is succinyl acetone inc. toxic to liver.
fail to thrive
tx?
tyrosinemia type1
tx low tyrosine low phenylalanine diet
you can add NTBC it prevents the formation of fumaryl acetoacetate from tyrosine
ARes
p.w seizures, hypotonia, development delay, later skin lesions, neuro anomalies, immunodef.
Biotinidase def.
biotin ir needed for the ATP dependent carbosylases that transport and activate CO2
biotinidase recycles biotin in the degradation of carboxylases and liberation of protein bound biotin in digestion.
Ares
one of the most common dis in NoEuropean whites
3 base pair deletion (a508) 70%
newborn screen?
carrier status?
Cystic fibrosis
CFTR protein is mutant
ImmunoRx Trypsin in blood (02)
carries state for prospective parents