A pragmatic approach to the diagnosis of inborn errors of metabolism in developing countries

African Journal of Laboratory Medicine

 
 
Field Value
 
Title A pragmatic approach to the diagnosis of inborn errors of metabolism in developing countries
 
Creator Anetor, John I. Orimadegun, Bose E. Anetor, Gloria O.
 
Subject Pathology, Neonatology, Paediatrics, Clinical Chemistry basic laboratory investigations; developing countries; inborn errors of metabolism; health education; optimisation of treatment
Description Inborn errors of metabolism (IEM) are a group of genetically derived diseases that are individually rare but collectively common and can be very severe. While high-income countries usually employ modern scientific technologies like tandem mass spectrometry for IEM investigation, these disorders are, in contrast, only rarely screened for in developing countries due to misconceptions that the required facilities are beyond the reach of these countries. This paper attempts to educate scientists and clinicians in developing countries on low-technology IEM screening methods that only require moderate facilities. Although a definitive diagnosis of IEM may require specialised laboratory investigations and attendant interpretation, in most cases, the basic facilities available in the average clinical chemistry laboratory in developing countries can allow the early detection of IEM. This early detection would facilitate critical early decision making, thus leading to better management, optimised treatment, and reduced morbidity and or mortality of IEM in these resource-limited countries. With this approach, a few referral centres for confirmatory investigation, comparable to those existing in developed countries, could be established. This can be integrated into creative health education for healthcare professionals and families who have individuals with IEM.What this study adds: IEMs are important enough that every country, developed or developing, should have screening plans and basic laboratory facilities that are adequate for initial IEM diagnosis. No country should therefore give up on testing for IEMs on the excuse of a paucity of advanced facilities.
 
Publisher AOSIS
 
Contributor None
Date 2023-05-30
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Narrative Review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajlm.v12i1.1946
 
Source African Journal of Laboratory Medicine; Vol 12, No 1 (2023); 8 pages 2225-2010 2225-2002
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajlmonline.org/index.php/ajlm/article/view/1946/2672 https://ajlmonline.org/index.php/ajlm/article/view/1946/2673 https://ajlmonline.org/index.php/ajlm/article/view/1946/2674 https://ajlmonline.org/index.php/ajlm/article/view/1946/2675
 
Coverage — Birth, Neonates, infancy —
Rights Copyright (c) 2023 John I. Anetor, Bose E. Orimadegun, Gloria O. Anetor https://creativecommons.org/licenses/by/4.0
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