Studies of Children With Metabolic and Other Genetic Disorders
Studies of Children With Metabolic and Other Genetic Disorders
This study will provide medical evaluations for patients with known or suspected metabolic
 and genetic disorders. It will allow NICHD investigators and trainees experience in
 diagnosing, managing, and treating patients with metabolic and genetic disorders who may not
 be eligible for an active NIH research trial. Participants in this protocol will only have
 tests and procedures used in the standard practice of medicine; there will be no experimental
 tests or treatments. Patients who are found eligible for an active research protocol will be
 offered participation in that study. The medical evaluations in this trial may uncover new
 disease processes that prompt new research initiatives.

 People of all ages with a suspected or diagnosed genetic or metabolic condition may be
 eligible for this study. In addition, children with unexplained developmental delay,
 deafness, dysmorphism, congenital malformations, acidosis, failure to thrive, feeding
 problems, short stature, birth defects, and other syndromes of unknown cause may qualify.

 Participants will have a medical history, including a family history, with possible review of
 previous medical records, and a physical examination. Other procedures may include:

 -  Consultation with medical specialists.

 -  Hearing and/or vision tests.

 -  Imaging studies, such as X-rays, ultrasound and magnetic resonance imaging (MRI).

 -  Blood drawing Blood samples (2 to 4 tablespoons from adults and 1 to 2 tablespoons from
 children) may be used for routine lab tests, genetic study, and other research purposes.

 -  Cheek swab DNA may be obtained by a cheek swab. A small brush is rubbed against the
 inside of the cheek to collect some cells.

 -  Skin biopsy Under local anesthetic, a small circle of skin (about 1/8-inch) is removed
 with a sharp cutting instrument similar to a cookie cutter.

 -  Muscle biopsy Under local anesthetic, a small piece of muscle tissue is removed to aid
 in diagnosis.

 Participants will undergo only diagnostic procedures that are clinically indicated; that is,
 only tests needed to confirm or rule out a diagnosis will be done. Tissue samples collected
 for diagnostic purposes may also be used to obtain DNA for genetic studies and to establish
 cell lines (cells grown in the laboratory to be maintained indefinitely) for future research.

 The results of the medical evaluation may indicate whether or not the participant has the
 disease that runs in the family (if a genetic disorder is indeed confirmed). Unless he or she
 requests otherwise, the subject (and parent in the case of a minor) will receive counseling
 regarding the test results. The implications of a positive test result will be explained,
 specifically, the participant s risk of having the disease, and the risk of passing the
 condition on to offspring.
The aim of this protocol is to provide care for patients with a variety of rare genetic
 disorders, supplement and offer an additional opportunity for training in clinical genetics,
 dysmorphology and metabolic genetics in the National Institute of Child Health and Human
 Development (NICHD) and other Institutes of the National Institutes of Health (NIH), and
 spearhead the development of new research protocols on particular aspects of diagnosis and
 care for specific genetic diseases. Evaluations of patients with a broad spectrum of
 metabolic and genetic conditions will be performed. In addition, genetic counseling services
 will be offered to patients and their families to assess risk, and give information on
 preventive measures, and testing options. Disorders that will be studied include chromosomal
 and Mendelian disorders of childhood and/or adult onset, congenital anomalies and/or birth
 defects, dysmorphic syndromes, familial cancer syndromes, multifactorial disorders, and
 metabolic abnormalities. If not eligible for another NICHD research protocol (specific for a
 disease or a treatment), patients with genetic/metabolic-related conditions may be evaluated
 under the auspices of this protocol to advance the clinical skills of physicians
 participating in NICHD clinical research and training programs, and to provide stimuli for
 new clinical research initiatives. Standard, medically indicated laboratory or radiological
 studies may be performed to confirm a diagnosis or to aid in the management of the patient.
 In some cases, the patient will receive medical or surgical treatment for their disorder,
 according to current clinical practice. Patients and/or family members with genetic disorders
 may offer their DNA for storage and/or testing. The overall purpose of this protocol is to
 support our Institute s training and research missions by expanding the spectrum of diseases
 that can be seen in our clinics and wards.
-  INCLUSION CRITERIA:

 -  Patients with suspected or diagnosed genetic and/or metabolic conditions of all ages
 are eligible for this protocol.

 -  In addition, children with unexplained developmental delay, deafness, dysmorphism,
 congenital malformations, acidosis, failure to thrive, feeding problems, short
 stature, birth defects, and other syndromes of sporadic or unknown etiology will
 qualify for this protocol.

 -  The actual selection of patients most appropriate for research and clinical training
 needs will be made by protocol investigators.

 EXCLUSION CRITERIA:

 -  Patients that their care requires resources not available at the NIH Clinical Center
 will not be eligible for the in-patient part of this study.

 -  There are no exclusions for the out-patient or DNA collection part of the study.