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Children's are living Jewels...
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123Mother.com try to help you through very special period of your life. During pregnancy women experience many changes physically and  mentally. Due to these changes women cannot not maintain their daily routine. In women's life these are special moment you like to do something different, to make theses period memorable and enjoyable. Here we help you make this special moments in your life memorable. We provide you with links and listing of some website and organizations, and information on all topics are related to complications in pregnancy and development of  children's.

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Inborn error of Metabolism
 

In inborn error of metabolism child is usually normal in the first month of life. After some week neurological sign are seen such as irritability, convulsion. Development is markedly retarded resulting in gross intellectual impairment. In such case skin is more vulnerable to minor lesion, rashes and eczema. Some hereditary factor include some clinical features such as cirrhosis of liver and disturbances in renal tubular reabsorption.
Inborn error of metabolism in children's occur due to deficiency of an enzymes. Enzymes required for the formation of a protein or for catalyzing biochemical reaction in the body .It is due to genetic abnormality .The inborn error of metabolism inherited from parents but it could be spontaneous mutation.

Inborn error of metabolism may be categories:
1.Disorder of amino acid metabolism
2.Area cycle defects
3.Disorder of fatty acid oxidation
4.Disorder of organic acid
5.Disorder of carbohydrate metabolism
6.Endocrine disorder
7.Lysosomal storage defects

In general metabolism screening in newborn infant is done either for specific testing or by routine screening. It totally depend upon whether newborn baby requires metabolic screening depends upon clinical finding and some laboratory test. Metabolic test done include various acid analysis and certain following features:
1. If a newborn baby or infant feed poorly has persistent vomiting is excessively lethargic, he should be quickly evaluated for brain abnormalities hemorrhage.

2.If any above condition occur, a metabolic error should be considered. Theses infant are may present as following

a) intoxication type or neurological some time cerebral palsy like condition or mental retardation. They may manifest as hypotonia or hypertonia, recurrent vomiting, lethargy, coma, unexplained death.

b) Energy deficiency type congenital malformation liver damage or some time glycogen storage disorder.

3.If any infant have persistent vomiting it may considered as urea cycle defects, serve adernanogenital syndrome.

4.Many time infant urine have abnormal urine odor like sweaty feet, musty, cabbage like hop like, maple syrup like.

5.It also include abnormal eye finding cherry red spot and cloudy cornea present in some type of eye disease.

 

 
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6.Abnormal hair found in infants who suffer from metabolic error.

7.Various skin disease occur due to metabolic error. Also with skin disease steriod sulphatase deficiency occur.

8.In some case kidney stones are seen ,also kidney cyst are found.

9.In case of heart glycogen storage disorder is found ,fatty acid oxidation defects are seen.

10.A large majority of errors of metabolism cause mental retardation
a) Disorder mainly affecting cerebrum
b) Also affect cerebellum, brain stem, spinal cord
c) Affect cranial and peripheral nerve.

11.Some patients develop hyperbilirubinemai and hemorrhages, the latter due to a deficiency of plasma coagulation. Growth is retarded. Sometimes death occur by age of 10 years.

12.In some inherited disorder due to deficiency of enzymes, skin is depigmentes. It does not tan burns on exposure of sunlight hair is white and silky in texture. In such case when light passes through the iris causing photophobia.

13.Due to disorder of metabolism of sulphur containing amino acid, patient develop subluxation of the lens ,recurrent thromboemboilc in the arties and veins, convulsion, mental retardation. It sometimes cause lesion of the lens.

14.In case of some disease such as maple syrup urine disease child born normal. Symptoms of poor feeding, lethargy and vomiting appear within the first week of life. Progressive degeneration of the nervous system. In such case death occur within 1st week or month.

15.Due to cystinosis metabolic disorder crystal are deposited in the cornea,bone marrow and leukocytes. In such case children's do not thrive well and death occur due to renal failure before the patient is ten years old.

16.Wilsondisease is intrahepatic defects in metabolic of copper. In such case children's are generally older and present with symptoms of basal ganglia involvement, rigidity tremors difficulty in speech, poor handwriting and abnormal posture. Some time liver may be enlarged.

 
 
 
 


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