[Clinical issues of adult patients with genetic and metabolic disorders diagnosed in childhood].
Diagnosis of genetic and metabolic disorders is usually made in childhood. Key issues for adult patients have shifted from children with these disorders to treatment of the symptoms and complications which appear in adulthood, and to the problems related to pregnancy and delivery, since pediatricians have less knowledge regarding these problems. With the development of new treatment, the numbers and problems of transitioned patients have been increasing. To achieve better medical care for these patients, pediatricians should play an important role in organizing the medical team and in establishing the medical network with key specialists including genetic counselors, dieticians and social workers for taking care of adult patients with those disorders.
Ida
Hiroyuki
H
Department of Pediatrics, Jikei University School of Medicine.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003191:Comprehensive Health Care; D003266:Continuity of Patient Care; D005260:Female; D030342:Genetic Diseases, Inborn / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D007223:Infant; D007564:Japan / Q000453:epidemiology; D008297:Male; D008659:Metabolic Diseases / Q000453:epidemiology / Q000628:therapy; D010348:Patient Care Team; D010360:Patient Transfer; D010819:Physician's Role; D011247:Pregnancy