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Galactosemia 

Primary Defect

Deficiency in enzymes that help convert galactose into glucose. The body cannot use galactose directly.

Screening Test

Fluorescent assay for enzyme activity
Typically followed by measurement of galactose if reduced activity is detected

Etiology & Prevalence

Genetic (autosomal recessive)
Occurs in about 1 in 50,000 births

If Untreated

Jaundice, vomiting, lethargy, hepatosplenomegaly, cataracts and failure to thrive leading to liver failure, sepsis. Often fatal

Therapy

Galactose free diet for life with strict avoidance of lactose (milk sugar) and lactose containing foods.

With Treatment

Mortality avoided if detected in time; improved IQ if treated early but typically in the low end of normal; speech and learning disabilities are common; ovarian failure for most females. 



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Washington State Department of Health
Newborn Screening Program
1610 NE 150th Street NE
Shoreline, Washington, 98155

Last Update : 11/20/2006 10:14 AM
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