Galactosemia

Causes and Risks:
Galactosemia is an inherited disorder (transmitted as an autosomal recessive trait). It occurs at a rate of approximately 2 out of 100,000 births. There are two forms of the disease, galactose-1 phosphate uridyl transferase deficiency and galactose kinase deficiency. Of the two, the galactose-1-phosphate deficiency is the most severe.

People with galactosemia cannot tolerate any form of milk (human or otherwise), because the milk sugar lactose (a disaccharide) is made up of equal parts of glucose and galactose. Exposure to milk produces toxic levels of galactose in the infant. This leads to liver damage, cataract formation, and brain damage.

Typically, a newborn with galactosemia, upon being fed milk, will develop jaundice , vomiting , lethargy , irritability, and convulsions . Continued feeding of milk products to the infant leads to cirrhosis , cataract formation, and mental retardation .

Prevention:
A personal knowledge of family history is helpful. If there is a family history of galactosemia, genetic counseling may help prospective parents make decisions about pregnancy .

Symptoms:



Signs and Tests:

Tests include:



Treatment:
Once the disease is recognized, treatment consists of strictly avoiding all milk and milk containing products. The infant can be fed with soy formula, meat-base formula, or Nutramigen (a protein hydrolysate process formula). The condition is life-long and requires abstinence from milk and milk products for life.

Parents need to take care and educate the child to avoid not only milk and milk products, but also those foods that contain dry milk products. For this reason, it is essential to read product labels and be an informed consumer.

Prognosis:
If diagnosis is made early and milk products are strictly avoided the prognosis is for a normal life.

Complications:



Call Your Healthcare Provider:
Call your health care provider if your infant shows a combination of galactosemia symptoms and if you have a family history of galactosemia and are considering having children.