Classical galactosaemia revisited

@article{Bosch2006ClassicalGR,
  title={Classical galactosaemia revisited},
  author={Annet M. Bosch},
  journal={Journal of Inherited Metabolic Disease},
  year={2006},
  volume={29},
  pages={516-525}
}
  • A. Bosch
  • Published 11 July 2006
  • Medicine, Biology
  • Journal of Inherited Metabolic Disease
SummaryClassical galactosaemia (McKusick 230400) is an: autosomal recessive disorder of galactose metabolism, caused by a deficiency of the enzyme galactose-1-phosphate uridyltransferase (GALT; EC 2.7.712). Most patients present in the neonatal period, after ingestion of galactose, with jaundice, hepatosplenomegaly, hepatocellular insufficiency, food intolerance, hypoglycaemia, renal tubular dysfunction, muscle hypotonia, sepsis and cataract. The gold standard for diagnosis of classical… 

Classic galactosemia: dietary dilemmas

  • A. Bosch
  • Medicine
    Journal of Inherited Metabolic Disease
  • 2010
Despite a continued galactose-restricted diet, and irrespective of a neonatal crisis, many patients suffer from long-term complications, such as reduced cognitive ability, language impairment, decreased bone mass, and hypergonadotrophic hypogonadism in women.

Classic Galactosemia: Indian Scenario.

Long term outcome is somewhat frustrating, as despite early diagnosis and strict dietary therapy, many, inevitably demonstrate long-term complications such as cognitive and motor dysfunction, speech and learning difficulties, osteoporosis and hypogonadism with infertility.

Galactosemia: when is it a newborn screening emergency?

  • G. Berry
  • Medicine
    Molecular genetics and metabolism
  • 2012

A Case of Classical Galactosemia caused by Compound Heterozygous Mutations of the GALT Gene

The case presented here was that of an 11-day-old female infant who had elevated galatose levels upon initial neonatal screening test with persistent cholestatic jaundice, coagulopathy, and hepatomegaly and was provided with a lactose/galactose-restricted diet as per her final diagnosis.

Galactosemia

Classic galactosemia, resulting from any of more than 250 mutations in the GALT gene, initially presents in the newborn period with subtle, nonspecific clinical signs, such as feeding intolerance, jaundice, lethargy, hypotonia, vomiting, and poor weight gain, but advances to a severe life-threatening event if left untreated.

Classical galactosemia in a Thai infant: case report and review of the literature

The fourth known published case of classical galactosemia in a Thai infant developed persistent jaundice, hepatosplenomegaly, and lethargy, since introduction to breast-feeding is presented.

Clinical, molecular, and genetic evaluation of galactosemia in Turkish children.

It is suggested that galactosemia should be included in the national newborn screening program in order to make earlier diagnoses, as 43% of patients's disease could be diagnosed at an early stage.

Differential Proteomics of Urinary Exovesicles from Classical Galactosemic Patients Reveals Subclinical Kidney Insufficiency.

Classical galactosemia is caused by a nearly complete deficiency of galactose-1-phosphate uridyltransferase (GALT; EC 2.7.712), resulting in a severely impaired galactose metabolism with

Neonatal screening in Sweden and disease-causing variants in phenylketonuria, galactosaemia and biotinidase deficiency

The Swedish screening programme for PKU, galactosaemia and BD is well-functioning with an internationally comparatively low rate of false positive outcomes and the impact of the adjusted recall levels was low.
...

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Inhibition of galactokinase may be a promising approach for controlling damage in GALT-deficient patients, as long-term follow-up of patients with this disorder has shown that most patients develop abnormalities such as a disturbed mental and/or motor development, dyspraxia and hypergonadotropic hypogonadism.

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Newborn screening for classical galactosaemia does not change the long-term complications of the disease such as speech disorders, mental retardation, ataxia and in females hypergonadotropic hypogonadism.

Verbal Dyspraxia and Galactosemia

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  • Medicine, Biology
    European Journal of Pediatrics
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Hypergonadotropic hypogonadism in female patients with galactosemia.

Female patients with galactosemia have a high incidence of ovarian failure due to acquired ovarian atrophy, andGalactose or its metabolites may be toxic to the ovarian parenchyma, particularly during the immediate neonatal period.

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Two siblings with classic transferase deficiency galactosemia that was detected at birth have been treated with lactose restriction since the neonatal period and developed a unique and progressive neurologic syndrome of mental retardation, tremor, and ataxia, which is proposed to represent a subgroup of transferase-deficient Galactosemic patients who develop characteristic neurologic sequelae with conventional dietary management.
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