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Newborn screening of lysosomal storage disorders.
[krabbe disease]
Newborn
screening
is
a
state
-based
public
health
program
established
as
a
means
for
the
early
detection
and
treatment
of
certain
medical
conditions
to
minimize
developmental
disability
and
mortality
.
The
program
was
initiated
more
than
40
years
ago
to
detect
and
prevent
phenylketonuria
.
Recent
technological
advances
have
expanded
the
scope
of
newborn
screening
to
include
more
than
30
inborn
errors
of
metabolism
.
Consideration
is
now
being
given
to
inclusion
of
screening
for
lysosomal
storage
disorders
(
LSDs
)
.
Some
lysosomal
storage
disorders
(
LSDs
)
express
early
in
infancy
or
childhood
and
are
treatable
.
Initiation
of
treatment
in
presymptomatic
patients
or
in
syptomatic
patients
before
important
symptoms
are
present
may
improve
the
long
-term
outcome
.
Therefore
,
early
diagnosis
is
critical
.
Based
on
the
availability
of
therapy
and
development
of
a
screening
method
,
6
of
the
more
than
40
known
LSDs
are
candidates
for
newborn
screening
in
the
US
:
Gaucher
disease
,
Pompe
disease
,
Fabry
disease
,
Niemann-
Pick
disease
,
mucopolysaccharidosis
I
,
and
Krabbe
disease
.
This
report
reviews
the
history
of
newborn
screening
,
the
technology
that
has
allowed
for
expanded
screening
during
the
last
decade
,
LSDs
and
their
treatment
,
and
the
evolving
methods
that
might
allow
additional
expansion
of
newborn
screening
to
include
certain
LSDs
.
Recent
and
evolving
technological
advances
may
be
implemented
for
newborn
screening
for
LSDs
.
This
screening
will
identify
presymptomatic
newborns
,
allowing
for
early
treatment
and
prevention
or
limitation
of
morbidity
otherwise
associated
with
these
inherited
rare
diseases
.
Diseases
Validation
Diseases presenting
"prevention or limitation of morbidity otherwise associated with these inherited rare diseases"
symptom
krabbe disease
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