Objective To explore the relationship between genotype and phenotype of neonatal short-chain acyl-CoA dehydrogenase deficiency (SCADD). Method The clinical data of SCADD in 7 children discovered by screening 296627 newborns in Qingdao from 2015 to 2018 were retrospectively analyzed. Results During the study period, the number of suspected positive cases at the first screening was 4864, and the positive rate was 0.16%. Seven children were diagnosed with SCADD by genetic testing and the positive rate of diagnosis was 1/42375. Among the 7 children (4 males and 3 females), 5 known mutations including c.1029+89_90insC, c.1031A>G, c.1157G>A, c.164C>T and c.989G>A and 4 unknown mutations including c.1130C>T, c.1186G>A, c.445A>T and c.949A>G were detected by gene testing. Conclusions SCADD genotype and hematuria tandem mass spectrometry screening results were consistent, but the relationship between genotype and clinical phenotype was not clear. Early diagnosis and treatment can improve the prognosis.
王伟青,李文杰,宋东坡,等
. Clinical characteristics and gene variation of short-chain acyl-CoA dehydrogenase deficiency[J]. Journal of Clinical Pediatrics, 2020
, 38(9)
: 687
.
DOI: 10.3969/j.issn.1000-3606.2020.09.011