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Respiratory manifestations in patients with inherited metabolic diseases

Francesca Santamaria, Silvia Montella, Virginia Mirra, Sara De Stefano, Generoso Andria, Giancarlo Parenti
European Respiratory Review 2013 22: 437-453; DOI: 10.1183/09059180.00008012
Francesca Santamaria
Dept of Paediatrics, Federico II University, Naples, Italy
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  • For correspondence: santamar@unina.it
Silvia Montella
Dept of Paediatrics, Federico II University, Naples, Italy
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Virginia Mirra
Dept of Paediatrics, Federico II University, Naples, Italy
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Sara De Stefano
Dept of Paediatrics, Federico II University, Naples, Italy
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Generoso Andria
Dept of Paediatrics, Federico II University, Naples, Italy
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Giancarlo Parenti
Dept of Paediatrics, Federico II University, Naples, Italy
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Abstract

Growing evidence indicates that inherited metabolic diseases are increasingly being recognised. Life expectancy for many patients is progressively improving because new therapeutic strategies are available. Because most inherited metabolic diseases are systemic disorders, virtually all organs may be involved. Respiratory disease complicates the management of several inherited metabolic diseases, either at presentation or as late-onset features. This review will describe the most exemplary respiratory manifestations of inherited metabolic diseases in childhood and adulthood. Since airways disease worsens the morbidity of many inherited metabolic disorders, leading to increased hospitalisations, mortality and overall healthcare costs, respiratory manifestations of inherited metabolic diseases need to be carefully recognised and treated. All patients with inherited metabolic disease and suspected airway disease should undergo a detailed diagnostic work-up. Current treatments for several inherited metabolic diseases (including enzyme replacement therapy, substrate reduction, bone marrow transplantation, or even more innovative strategies such as pharmacological chaperone or gene therapies) may provide significant benefits for associated respiratory disease. The integration of several specialists dedicated to airway disease management in a multidisciplinary team is essential to provide the most appropriate care to children and adults with inherited metabolic disease.

Footnotes

  • Conflict of interest: None declared.

  • Provenance: Submitted article, peer reviewed.

  • Received December 19, 2012.
  • Accepted January 6, 2013.
  • ©ERS 2013

ERR articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 3.0.

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Respiratory manifestations in patients with inherited metabolic diseases
Francesca Santamaria, Silvia Montella, Virginia Mirra, Sara De Stefano, Generoso Andria, Giancarlo Parenti
European Respiratory Review Dec 2013, 22 (130) 437-453; DOI: 10.1183/09059180.00008012

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Respiratory manifestations in patients with inherited metabolic diseases
Francesca Santamaria, Silvia Montella, Virginia Mirra, Sara De Stefano, Generoso Andria, Giancarlo Parenti
European Respiratory Review Dec 2013, 22 (130) 437-453; DOI: 10.1183/09059180.00008012
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  • Article
    • Abstract
    • Introduction
    • Lysosomal disorders
    • Disorders of amino acids transport and metabolism
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    • Approach to diagnosis and treatment of respiratory manifestations of inherited metabolic diseases
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