Pediatric metabolic genetics at Dell Children’s
Experienced metabolic genetic specialists at Dell Children's Medical Center at Ascension Seton diagnose, evaluate and treat metabolic disorders (inborn errors of metabolism) that are inherited. Metabolic disorders are rare conditions that disrupt chemical processes in the body and affect the body’s ability to get energy from food and recycle chemicals in the body. Symptoms of inherited metabolic disorders may appear in infancy and may be detected on a newborn screening test. Sometimes symptoms do not appear until childhood or even adulthood. Your doctor may also recommend genetic testing if you have a family history of a possible or known metabolic disorder.
Signs and symptoms of a metabolic disorder in newborns and children may include:
- An abnormal newborn screen
- Abnormal heart rate or breathing pattern
- Abnormal acid-base status
- Failure to thrive
- Low blood sugar (hypoglycemia)
- Low energy levels
- Muscle weakness or decreased muscle tone (hypotonia)
- Neurological symptoms, including developmental delay or regression, and seizures
- Gastrointestinal symptoms, including vomiting, diarrhea, food aversion, and intolerance
Diagnosing metabolic genetic disorders
Before your appointment or your child’s appointment, we take the time to review medical records and any other documents you have shared with us. If your referring doctor or your child’s referring doctor has any concerns before the appointment, we are available to answer their questions and provide guidance on testing. In some cases, we can recommend other tests that do not require a visit with a genetic specialist. Our goal is to help you and your doctor find the right testing option for you or your child.
We start each visit by listening and addressing any concerns. Your specialist reviews previous medical records, growth charts and previous labs. Using a combination of blood, urine, enzyme and DNA analysis, your genetic specialist starts the evaluation process. Then, a diagnosis is made. These conditions can be complex and unfamiliar, so your genetic specialist takes the time to fully explain the diagnosis and answer all of your questions.
Inherited metabolic disorders we treat include:
- Lysosomal storage diseases
- Medium chain acyl-coA dehydrogenase deficiency (MCAD)
- Phenylketonuria (PKU)
- Urea cycle enzyme defects
- Other inborn errors of metabolism
Comprehensive care for your child
Your genetic specialist works with you to create an individualized care plan. Treatments typically include diet changes, medication and other therapeutics, such as enzyme replacement therapy. Our goal is to deliver care that helps improve your or your child’s quality of daily life.
Multidisciplinary care teams
When you choose Dell Children’s, your family is connected to the most pediatric specialists in Central Texas. That means if your child has a complex condition, we work closely with other pediatric specialists and referring doctors at Dell Children’s, including endocrinologists, neurologists, orthopedic specialists, gastroenterologists (GI doctors), pulmonologists, cardiologists, hepatologists, pharmacists, dietitians and more. Together, we collaborate on your child’s care plan to deliver comprehensive care. And your child benefits from having the expertise of multiple specialists.
Frequently asked questions
How do I schedule an appointment?
Please have your doctor call 512-628-1840 or fax 512-628-1841. To check the status of a referral, please call 512-628-1840. Before scheduling your first appointment, we work with you and your doctor to gather previous medical records and other documents. This includes medical records, lab tests, genetic tests, growth charts and insurance authorization(s).
Is there anything I can do to schedule an appointment sooner?
Yes. Before scheduling an appointment, our care team needs medical records to review such as birth records, growth charts (height, weight and head circumference), previous imaging and labs, and sometimes school records. Our team will request these records before scheduling and may ask you to sign a release of information (ROI) form to help us gather these records. If you have any of these medical records, you can send them to our office. The quicker we receive these records, the sooner we can schedule the appointment.
You are welcome to call our office to check on the status of a referral, ask about any missing records, or to get our fax number and email to send any records.
How much does genetic testing cost?
Cost can vary depending on the type of testing needed and your insurance. Some insurances completely cover the cost of testing. There are options provided by some laboratories to help lower the cost of testing when insurance does not cover the cost completely. Together, we can discuss options and costs in more detail at your appointment. If you have questions or concerns before your appointment, please call 512-628-1840.
When will my child’s genetic testing results be ready?
The turnaround time for genetic testing can vary. The average turnaround time for first tier biochemical testing is 2 weeks and first tier genetic testing (chromosome microarray (CMA), fragile X testing and gene panels) is 4 to 5 weeks. The average turnaround time for whole exome sequencing (WES) is 3 to 4 months. During your appointment, we will discuss the expected turnaround time and how you will receive results.