Galactosemia is a condition in which the body is unable to use (metabolize) the simple sugar galactose.
Galactose-1-phosphate uridyl transferase deficiency; Galactokinase deficiency; Galactose-6-phosphate epimerase deficiency
Galactosemia is an inherited disorder. This means it is passed down through families. If both parents carry a nonworking copy of the gene that can cause galactosemia, each of their children has a 25% (1 in 4) chance of being affected with it.
There are 3 forms of the disease:
People with galactosemia are unable to fully break down the simple sugar galactose. Galactose makes up half of lactose, the sugar found in milk.
If an infant with galactosemia is given milk, substances made from galactose build up in the infant's system. These substances damage the liver, brain, kidneys, and eyes.
People with galactosemia cannot tolerate any form of milk (human or animal). They must be careful about eating other foods containing galactose.
Infants with galactosemia can develop symptoms in the first few days of life if they eat formula or breast milk that contains lactose. The symptoms may be due to a serious blood infection with the bacteria E coli.
Symptoms of galactosemia are:
Tests to check for galactosemia include:
Newborn screening tests in many states check for galactosemia.
Test results may show:
People with this condition must avoid all milk, products that contain milk (including dry milk), and other foods that contain galactose, for life. Read product labels to make sure you or your child with the condition are not eating foods that contain galactose.
Infants can be fed:
Calcium supplements are recommended.
Galactosemia Foundation -- www.galactosemia.org
People who are diagnosed early and strictly avoid milk products can live a relatively normal life. However, mild mental impairment may develop, even in people who avoid galactose.
These complications can develop:
Call your health care provider if:
It is helpful to know your family history. If you have a family history of galactosemia and want to have children, genetic counseling will help you make decisions about pregnancy and prenatal testing. Once the diagnosis of galactosemia is made, genetic counseling is recommended for other members of the family.
Many states screen all newborns for galactosemia. If the newborn test shows possible galactosemia, they should stop giving their infant milk products right away and ask their provider about having blood tests that can be done to confirm a diagnosis of galactosemia.
Berry GT, Walter JH. Disorders of galactose metabolism. In: Saudubray JM, van den Berghe G, Walter JH, eds. Inborn Metabolic Diseases: Diagnosis and Treatment. 5th ed. New York, NY: Springer; 2012:chap 7.
Broomfield A, Brain C, Grunewald S. Galactosaemia: diagnosis, management and long-term outcome. Paediatrics and Child Health. 2015:25(3);113-118.
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