title: Neonatal screening for medium-chain acyl-CoA dehydrogenase deficiency.
abstract: Neonatal screening for medium-chain acyl-CoA dehydrogenase (MCAD) deficiency has not yet been introduced in the UK, primarily because of uncertainty about the natural history of the disorder and concerns about the specificity of the screening test. To obtain data on these issues, we did a retrospective study in which we analysed the concentrations of acylcarnitines in stored neonatal blood spots, and reviewed patients with high octanoylcarnitine concentrations at age 7-9 years. The high morbidity and mortality associated with the disorder, and the specificity of acylcarnitine analysis seen in our study support the introduction of screening for MCAD deficiency.
authors.forename: M
authors.initials: M
authors.lastname: Pourfarzam
authors.forename: A
authors.initials: A
authors.lastname: Morris
authors.forename: M
authors.initials: M
authors.lastname: Appleton
authors.forename: A
authors.initials: A
authors.lastname: Craft
authors.forename: K
authors.initials: K
authors.lastname: Bartlett
mesh_terms: D042964:Acyl-CoA Dehydrogenase; D044944:Acyl-CoA Dehydrogenases / Q000097:blood / Q000172:deficiency*; D002331:Carnitine / Q000031:analogs & derivatives* / Q000097:blood; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000379:methods*; D012189:Retrospective Studies; D006113:United Kingdom
chemical_list: D044944:Acyl-CoA Dehydrogenases; D042964:Acyl-CoA Dehydrogenase; C008698:octanoylcarnitine; D002331:Carnitine