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Inherited metabolic diseases in the Southern Chinese population: spectrum of diseases and estimated incidence from recurrent mutations.
[x-linked adrenoleukodystrophy]
Inherited
metabolic
diseases
(
IMDs
)
are
a
large
group
of
rare
genetic
diseases
.
The
spectrum
and
incidences
of
IMDs
differ
among
populations
,
which
has
been
well
characterised
in
Caucasians
but
much
less
so
in
Chinese
.
In
a
setting
of
a
University
Hospital
Metabolic
Clinic
in
Hong
Kong
,
over
100
patients
with
IMDs
have
been
seen
during
a
period
of
13
years
(
from
1997
to
2010
)
.
The
data
were
used
to
define
the
spectrum
of
diseases
in
the
Southern
Chinese
population
.
Comparison
with
other
populations
revealed
a
unique
spectrum
of
common
IMDs
.
Furthermore
,
the
incidence
of
the
common
IMDs
was
estimated
by
using
population
carrier
frequencies
of
known
recurrent
mutations
.
Locally
common
diseases
(
their
estimated
incidence
)
include
(
1
)
glutaric
aciduria
type
1
 
(
∼
1
/
60
,
000
)
,
(
2
)
multiple
carboxylase
deficiency
(
∼
1
/
60
,
000
)
,
(
3
)
primary
carnitine
deficiency
(
∼
1
/
60
,
000
)
,
(
4
)
carnitine-acylcarnitine
translocase
deficiency
(
∼
1
/
60
,
000
)
,
(
5
)
glutaric
aciduria
type
2
(
∼
1
/
22
,
500
)
,
(
6
)
citrin
deficiency
(
∼
1
/
17
,
000
)
,
(
7
)
tetrahydrobiopterin-
deficient
hyperphenylalaninaemia
due
to
6
-
pyruvoyl-tetrahydropterin
synthase
deficiency
(
∼
1
/
60
,
000
)
,
(
8
)
glycogen
storage
disease
type
1
 
(
∼
1
/
150
,
000
)
.
In
addition
,
ornithine
carbamoyltransferase
deficiency
and
X-
linked
adrenoleukodystrophy
are
common
X-
linked
diseases
.
Findings
of
the
disease
spectrum
and
treatment
outcome
are
summarised
here
which
may
be
useful
for
clinical
practice
.
In
addition
,
data
will
also
be
useful
for
policy
makers
in
planning
of
newborn
screening
programs
and
resource
allocation
.
Diseases
Validation
Diseases presenting
"x-linked adrenoleukodystrophy are common x-linked diseases"
symptom
x-linked adrenoleukodystrophy
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