Skip to main content

Table 8 The abnormal amino acids/acylcarnitines in dried blood spots and organic acids in urine of the different disease types in the studied cases

From: Detection of some metabolic disorders in suspected neonates admitted at Assiut University Children Hospital

IEM Disease

No.

Abnormal amino acids/acylcarnitines in DBS

 

Amino acids/acylcarnitine

Concentration (μM)

Cut-off (μM)

Organic acid in urine

1. UCD

20

• Arginine

124.7 ± 35.7 (99–142)

49

Not done

• Citrulline

98.4 ± 14.1 (83–126)

33

• Ornithine

625.8 ± 19.8 (602–654)

350

2. MSUD

18

• Leucine-isoleucine

361.9 ± 18.4 (318–378)

270

Not done

• Valine

377.1 ± 43.5 (327–406)

198

Not done

3. FAOD

15

• C6-carnitine

1.08 ± 0.6 (1.1–1.2)

< 0.16

Not done

• C8-carnitine

1.30 ± 0.9 (1.2–1.4)

< 0.18

Not done

• C10-carnitine

1.98 ± 0.5 (1.8–2.1)

< 0.26

Not done

• C12-carntine

1.76 ± 0.6 (1.7–1.9)

< 0.410

Not done

• C14-carnitine

1.64 ± 0.4 (1.6–1.7)

< 0.413

Not done

• C5-OH-carnitine

1.92 ± 0.3 (1.8–2.0)

< 0.8

Not done

• C16-carnitine

6.07 ± 0.6 (5.9–6.2)

< 5.06

Not done

• C18:1-carnitine

4.75 ± 2.9 (2.5–7.4)

< 3.50

Not done

4. THPN

15

• Phenylalanine

161.6 ± 18.9 (143–182)

84

Not done

5. OA

15

• Propionic acidemia

5.00 ± 0.6 (4.6–5.8)

4

↑3-Hydroxy-Propionic acid.

• Glutaric acidemia

0.93

0.34

↑3-Hydroxy glutaric acid

• β-ketothiolase Def.

–

–

↑Tiglylglycine

• Methylmalonic acid(C3)

4.00 ± 1.3 (2.9–5.2)

4

↑Methyl-malonic acid

• Methyl-crotonyl acidemia

8

1

↑Methyl-crotonyl acid

6. ST

4

• Tyrosine

648.5 ± 56.0 (589–714)

225

Not done

7. SG

3

• No

–

–

Not done

8. SMCD

1

• No

–

–

Not done

9. HGN

1

• Glycine

3500

717

Not done

10. DHDP

1

• No

–

–

Uracil and thiamine ↑

  1. UCD urea cycle defect, MSUD maple syrup urine disease, FAOD fatty acid oxidation defect, THPN transient hyperphenylalaninemia, OA organic acidemia, ST suspected tyrosinemia, SG suspected galactosemia, SMCD suspected multiple carboxylase deficiency, HGN hyperglycinemia, DHPD di-hydro-pyrimidine deficiency