TY - CHAP M1 - Book, Section TI - Chapter 114. Acute Metabolic Dysfunction A1 - Deberardinis, Ralph J. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. Y1 - 2011 N1 - T2 - Rudolph's Pediatrics, 22e AB - Inborn errors of metabolism are genetic diseases caused by mutations in metabolic enzymes, nutrient transporters, and related genes. Because metabolism is the foundation of basic processes such as energy homeostasis, fuel storage, and growth, it is not surprising that many inborn errors of metabolism present with severe, multisystem failure culminating in shock, cardiorespiratory collapse, and coma. Therefore, inborn error of metabolism is a crucial category of diseases in pediatric emergency medicine and critical care. Their pathophysiology involves a combination of disturbances emanating from the dysfunctional metabolic pathway, including failure to produce energy and required metabolites, accumulation of toxic intermediates, and complex effects on global metabolism due to sequestration of cofactors. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=6721389 ER -