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Disorder List

First Step will screen for the following Inborn Errors of Metabolism (also known as Metabolic Disorders) by Tandem Mass Spectrometry and Biochemical Analysis. Newborns are screened from a dried blood spot, ideally collected within 24 to 72 hours of birth.

Disorders Detected by Tandem Mass Spectrometry
Acylcarnitine Profile – Fatty Acid Oxidation Disorders
Acylcarnitine Profile – Organic Acid Disorders
Amino Acid Profile – Amino Acid Disorders
Lysosomal Storage Disorders (LSD)
Other Disorders
  • Hyperalimentation
  • Medium Chain Triglyceride Oil Administration (MCT)
  • Treatment with Benzoate, Pyvalic Acid, or Valproic Acid
  • Liver Disease
  • Presence of EDTA coagulants in blood specimen
  • Carnitine Uptake Deficiency (CUD)
    *There is a lower probability of detection of this disorder during the immediate newborn period.
Disorders Detected by Other Technologies
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