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    NSP Information for Professionals

    NSP Information for Professionals

    Summary of Disorders Screened for by the Delaware Newborn Screening Program

    DisorderAnalyte MeasuredResults If UntreatedTreatment
    Phenylketonuria (PKU)Phenylalanine level (Phe)Mental retardation, seizuresLow phe diet
    Congenital Hypothyroidism (CH)Thyroid stimulating hormone (TSH)Mental retardation, growth delayThyroid hormone
    GalactosemiaTotal galactose, galactosemia enzyme (GALT)Infection, cataracts, liver disease, mental retardationGalactose free diet
    Congenital Adrenal Hyperplasia (CAH)17-alpha hydroxy progesterone (17-OHP)Electrolyte imbalance, shock, infant deathAdrenal hormone replacement
    Hemoglobinopathies (most important -Sickle Cell Disease)Hemoglobin isoelectric focusingMultiple medical conditionsAntibiotic prohylaxis, specialized preventive health care
    Medium Chain Acyl-CoA Dehyrogenase (MCAD) DeficiencyLevels of fatty acid acylcarnitines – C8, C6, C10:1Variable, but may include sudden death, seizures, neurologic syndromesDiet, avoidingfasts, certain medications
    Other Fatty Acid Oxidation (FAO) disordersLevels and ratios of various fatty acid acylcarnitinesVariable, but may include sudden death, seizures, neurolgic syndromesDiet, avoiding fasts, certain medications
    Maple Syrup Urine Disease (MSUD)Blood levels of leucine/isoleucineNeonatal coma, seizures, acidosis, mental retardationDiet low in branched chain amino acids
    Glutaric AcidemiaAcylcarnitine, C5-DCSeizures, athetosis, motor disabilityDiet, certain medications
    Other Organic Acid disordersSpecific acylcarnitinesVariableVariable
    HomocystinuriaMethionine levelCharacteristic body habitus, eye anomalies, mental retardation, hypercoagulableDiet, medications
    Other disorders of amino acid metabolismBlood arginine, tyrosine, citrullineVariableDiet, variable
    Biotinidase DeficiencyBiotinidase activitySeizures, rash, mental retardation, hearing lossHigh dose biotin
    Severe Combined Immunodeficiency (SCID)T-cell Receptor Excision circles (TRECs)DeathBone marrow/stem cell transplantation
    MPS-I Mucopolysaccharidosis Type IAlpha-L-iduronidase (IDUA)Progressive debilitating neurological, gastrointestinal and musculoskeletal symptomsBone marrow transplant/enzyme replacement therapy
    Glycogen Storage Disease Type II (Pompe)Alpha-glucosidaseProgressive muscle weakness and respiratory insufficiencyEnzyme replacement therapy
    X-linked AdrenoleukodystrophyLysophosphatidylcholineAdrenal insufficiency and/or neurological problemsHormone replacement and/or stem cell transplantation
    Spinal Muscular AtrophyMutation in Spinal Motor Neuron 1 geneProgressive muscle weakness, deathIntrathecal protein infusions/gene therapy