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pubmed-article:16488171pubmed:abstractTextWe diagnosed six newborn babies with very long-chain acyl-CoA dehydrogenase deficiency (VLCADD) through newborn screening in three years in Victoria (prevalence rate: 1:31,500). We identified seven known and two new mutations in our patients (2/6 homozygotes; 4/6 compound heterozygotes). Blood samples taken at age 48-72 h were diagnostic whereas repeat samples at an older age were normal in 4/6 babies. Urine analysis was normal in 5/5. We conclude that the timing of blood sampling for newborn screening is important and that it is important to perform mutation analysis to avoid false-negative diagnoses of VLCADD in asymptomatic newborn babies. In view of the emerging genotype-phenotype correlation in this disorder, the information derived from mutational analysis can be helpful in designing the appropriate follow-up and therapeutic regime for these patients.lld:pubmed
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pubmed-article:16488171pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:16488171pubmed:articleTitleVLCAD deficiency: pitfalls in newborn screening and confirmation of diagnosis by mutation analysis.lld:pubmed
pubmed-article:16488171pubmed:affiliationMetabolic Service and Newborn Screening Laboratory, Genetic Health Services Victoria, Melbourne, Australia. avihu.boneh@ghsv.org.aulld:pubmed
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