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Metabolic disorders. Usually inherited as autosomal recessivePresentation can be at any age but usually in first year of lifeIt is important to make diagnosis even no treatment(why)Few neonatal screening (PKU in England). Galactosaemia, Homocystinurea, and tyrosinaemia in some regionsCan be diagnosed from single blood testMore incidence in some ethnic groupsThe out come can be very good.

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