Galactosemia among positive-screened patients who underwent lactose challenge: A review of records of the newborn screening program.
- Author:
Mary Erika V. ORTEZA
1
;
Mary Ann R. ABACAN
1
Author Information
- Publication Type:Journal Article, Original
- Keywords: Enbs; Lactose Challenge
- MeSH: Human; Infant Newborn: First 28 Days After Birth; Galactosemias
- From: Acta Medica Philippina 2024;58(18):56-63
- CountryPhilippines
-
Abstract:
BACKGROUND
Newborns screened positive for Galactosemia through Expanded Newborn Screening (ENBS) with borderline levels undergo lactose challenge that requires interruption of breastfeeding temporarily then shifting to soy-based formula.
OBJECTIVETo determine the percentage of Classical Galactosemia (CGal), Non-classical Galactosemia (NCGal), probable mild variant form, and negative Galactosemia among newborns screened positive for Galactosemia who underwent lactose challenge.
METHODSThis is a retrospective study. NBS records were reviewed and data were collected from January 2015 to December 2020.
RESULTSOut of the 117 newborns screened positive for Galactosemia, 58 underwent lactose challenge. Majority were male, term with a birth weight of 2500-4000g and received a final disposition in 4-6 months. Fifteen patients underwent 1-week lactose challenge wherein six reached a resolution on first challenge. Majority, 35 (60.3%) were negative for Galactosemia, six (10.3%) probable mild variant Galactosemia, three (5.2%) NCGal, and no CGal were observed. Fourteen suspected cases (24.1%) are pending final disposition.
CONCLUSIONThis study describes the demographics of newborns flagged for Galactosemia who underwent lactose challenge. A 1-week lactose challenge may be recommended to further detect patients who are negative for Galactosemia.