Metabolic Disease
The Metabolic Disease Section at The Children's Hospital of Philadelphia provides state-of-the-art diagnostic and treatment services for inborn errors of metabolism:
Our staff includes board-certified physicians, pediatric nurse practitioners, social workers, genetic counselors and dietitians. We work closely with our Metabolic Diagnostic Laboratory, a full-service laboratory specializing in diagnosing and monitoring inborn errors of metabolism, and are available to provide consultations and discuss the results of metabolic tests.
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Diagnostic services and long-term management for metabolic disorders
We provide diagnostic services and long-term management for the following disorders:
Inborn errors of intermediary metabolism
- Organic acidopathies (propionic acidemia, methylmalonic acidemia, biotinidase deficiency, phenylketonuria (PKU) and other disorders)
- Aminoacidopathies (maple syrup urine disease; homocystinuria; cobalamin deficiencies; tyrosinemia; urea cycle defects (ornithine transcarbamylase, carbamyl phosphate synthase, citrullinemia, argininosuccinic aciduria, arginase deficiencies) and non-ketotic hyperglycinemia)
- Fatty acid oxidation defects (MCAD, VLCAD, LCHAD, SCAD deficiencies)
Mitochondrial disorders
- Deficiencies of pyruvate dehydrogenase (PDH) and pyruvate carboxylase (PDH and PC); Leigh syndrome
- Disorders of the electron transport chain (MELAS, MERRF, Cox (cystochrome C oxiase))
- Disorders of mitochondrial DNA (Kearns Sayre syndrome, etc.)
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Peroxisomal disorders
- Zellweger syndrome and other peroxisomal biogenesis disorders
- X-linked adrenoleukodystrophy and myeloneuropathy
- Refsum disease
Lysosomal storage disorders
- Gaucher disease; Niemann-Pick disease; Krabbe disease; metachromatic leukodystrophy; Tay Sachs; Sandhoff
- Fabry
- Mucopolysaccharidoses (Hurler, Hunter, Sanfilippo, Morquio, Maroteux-Lamy)
- Mucolipidosis II (I cell)
- Oligosaccharidoses (Mannosidosis, sialidosis, fucosidosis, galactosialidosis)
- Congenital disorders of glycosylation
Connective tissue disorders
- Marfan syndrome
- Ehlers Danlos syndromes
- Osteogenesis imperfecta
- Cutis laxa
- Williams Beuren
Williams syndrome
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Multispecialty clinics for complex genetic disorders
Improved tools for the diagnosis and treatment of inborn errors of metabolism have resulted in longer life-spans for affected newborns, children and adults. Many of these metabolic disorders give rise to multisystem diseases that require the expertise of a diverse array of specialists.
We have multispecialty clinics for complex genetic disorders to streamline the clinical care of these complex patients, to improve multispecialty care and reduce the heavy emotional and financial burden on the family and on practitioners.
- Lysosomal Center
- Connective Tissue Disorders Multispecialty Clinic
- Williams Syndrome Multispecialty Clinic
Research and training
In addition to our diagnostic and treatment services, we provide training in metabolic diseases and support active research programs that have made important contributions to the field.
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