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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
"early diagnosis"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
erdheim-chester disease
erythropoietic protoporphyria
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
kallmann syndrome
kindler syndrome
krabbe disease
locked-in syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
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