Abstract
The best function test is elicited by nature itself during acute metabolic stresses, such as those caused by an acute infection, inadvertent fasting, or consumption of a nutrient for which a metabolic intolerance exists. As discussed in Chap. 1, if symptoms lead one to suspect the existence of an inborn metabolic disease, blood, urine, and cerebrospinal fluid should be investigated and/or stored in the correct way to perform the emergency protocol (Table 1.1). If no material is available or if the results are incomplete or ambiguous, a function test that challenges a metabolic route may provide a tentative diagnosis.
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References
Touati G, Rigal O, Lombes A et al. (1997) In vivo functional investigations of lactic acid in patients with respiratory chain disorders. Arch Dis Child 76: 16–21
Poggi-Travert F, Martin D, Billette de Villemeur T et al. (1996) Metabolic intermediates in lactic acidosis: compounds, samples, and interpretation. J Inher Metab Dis 19: 478–488
Bonnefont JP, Specola NB, Vassault A et al. (1990) The fasting test in paediatrics: application to the diagnosis of pathological hypo-and hyperketotic states. Eur J Pediatr 150: 80–85
Fernandes J, Huying F, Van de Kamer JH (1969) A screening method for liver glycogen diseases. Arch Dis Childh 44: 311–317
Ching-Shiang Chi, Suk-Chun Mak, Wen-Jye Shian, ChaoHuei Chen (1992) Oral glucose lactate stimulation in mitochondria(diseases. Pediatr Neurol 8: 445–449
Steinmann B, Gitzelmann R (1981) The diagnosis of hereditary fructose intolerance. Heiv Paediatr Acta 36: 297–316
Costa CCG, Tavares de Almeida I, Jakobs C, Poll-The BT, Duran M (1999) Dynamic changes of plasma acylcarnitine levels induced by fasting and sunflower oil challenge test in normal children. Pediatr Res 46: 440–444
Ponzone A, Guardamagna O, Spada M et al. (1993) Differential diagnosis of hyperphenylalaninaemia by a combined phenylalanine-tetrahydrobiopterin loading test. Eur J Pediatr 152: 655–661
Kono N, Tarui S (1990) The exercise test. In: Fernandes J, Saudubray J-M, Tada K (eds) Inborn metabolic diseases. Diagnosis and treatment. Springer, Berlin Heidelberg New York
Kono N, Mineo I, Shimizu T et al. (1986) Increased plasma uric acid after exercise in muscle phosphofructokinase deficiency. Neurology 36: 106–108
Kronick JB, Scriver CR, Goodyer PR, Kaplan PB (1983) A perimortem protocol for suspected genetic disease. Pediatr 71: 960–963
Helweg-Larsen K (1993) Postmortem protocol. Acta Paediatr [Suppi] 389: 77–79
Poggi F, Rabier D, Vassault A et al. (1994) Protocole d’investigations métaboliques dans les maladies héréditaires du métabolisme. Arch Pediatr 1: 667–673
Rashed MS, Ozand PT, Bennett J et al. (1995) Inborn errors of metabolism diagnosed in sudden death cases by acylcarnitine analysis of postmortem bile. Clin Chem 41: 1109–1114
Brookes JAS, Hall-Craggs MA, Sams VR, Lees WR (1996) Non-invasive perinatal necropsy by magnetic resonance imaging. Lancet 348: 1139–1141
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Fernandes, J., Saudubray, JM., Huber, J. (2000). Diagnostic Procedures: Function Tests and Postmortem Protocol. In: Fernandes, J., Saudubray, JM., Van den Berghe, G. (eds) Inborn Metabolic Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-04285-4_2
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DOI: https://doi.org/10.1007/978-3-662-04285-4_2
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