A
C
D
Defects of Ketone metabolism (transferase, thiolase deficiences, T2 deficiency, Succinyl CoA Transferase [SCOT], beta-ketothiolase)
F
G
Glycerol Kinase Deficiency (isolated, same as Ketotic Hypoglycaemia)
***IMPORTANT NOTE: some children have glycerol kinase deficiency as part of a contiguous gene deletion causing in addition congenital adrenal hypoplasia and muscular dystrophy. These patients require different emergency management to take account of their endocrine dysfunction.***
Standard , A&E , Child dietary emergency regimen , Making intravenous fluids for metabolic patients ,
H
HMG CoA Synthase Deficiency (HMGCS Deficiency, HMGCS2, 3-methyl-3-hydroxyglutaryl CoA synthase deficiency)
Hyperammonaemia due to transport defects (Lysinuric protein intolerance, LPI, hyperornithinaemia, hyperammonaemia, homocitrullinuria, HHH syndrome)
I
K
Ketotic Hypoglycaemia (Accelerated starvation, glycerol kinase deficiency and glycogen synthase deficiency)
L
M
Maple Syrup Urine Disease (MSUD, Maple syrup disease, Branched chain keto acid dehydrogenase deficiency)
N
O
OTC Deficiency (Ornithine Transcarbamylase Deficiency, Ornithine Carbamyl Transferase [OCT] deficiency)
P
Porphyria (Acute Intermittent Porphyria, Variegate Porphyria, Hereditary Coproporphyria)
There are no paediatric guidelines for acute porphyria - this links to the guidelines for acute porphyria in adults written by the National Acute Porphyria Service. A&E
R
U
Urea Cycle Disorders 1 (OTC (OCT, ornithine transcarbamylase, ornithine carbamyl transferase) deficiency and CPS (carbamyl phosphate synthetase) deficiency)
V