Care at NUH

Paediatric Genetics and Metabolism

2024/05/14

The Division of Paediatric Genetics and Metabolism provides holistic inpatient and outpatient care for foetuses, children and adults with confirmed or potential genetic conditions, including birth defects, chromosomal disorders and gene disorders.

Our services extend to adults potentially at risk of having children with genetic diseases, providing risk assessment, pre-conception genetic counselling and carrier testing as required.

We also provide diagnostic services for individuals with undiagnosed conditions (Refer to Undiagnosed Case Service for more information).
We welcome referrals from polyclinics, general practitioners, specialists, and other allied health care workers. Additionally, private patients have the option to self-refer or to be referred by their doctor.
Our Team

Our multidisciplinary team, which includes paediatricians, dietitians and laboratory services, will ensure comprehensive care for your child.

Head of Division & Senior Consultant
Senior Consultant
Consultant
Genetic Counsellor
  • Ms Shreya Surendra Shetty
Our Services
Genetics
Our team provides specialised care for individuals with genetic conditions or those at risk. Services include genetic counselling, evaluations and genetic testing to ascertain carrier status, prenatal and preimplantation diagnosis, and the likelihood of transmitting or inheriting a genetic disorder.

Patients are typically referred for: 

Symptoms suggestive of a genetic disease, such as birth defects or persistent health issues
Family history suggestive of possible genetic disease
Verification of a genetic disease diagnosis
Expert, comprehensive care for individuals with genetic diseases
An abnormal foetus 
Recurrent pregnancy loss

Common conditions seen are:
Chromosomal disorders such as Down Syndrome, Trisomy 13, Trisomy 18, Turner Syndrome, Klinefelter Syndrome, William Syndrome or Prader–Willi Syndrome, translocation carrier
Single-gene disorders such as Neurofibromatosis 1, Marfan Syndrome, Ehlers Danlos Syndrome, Tuberous Sclerosis, Haemophilia, Duchenne Muscular Dystrophy, Fragile X or inborn errors of metabolism (e.g. citrin deficiency, urea cycle defect, amino acidopathy)
Birth defects impacting the heart, brain, limbs, skeletal structure, growth or development
Global developmental delays including autism
Sensory impairments such as hearing loss or visual loss
Abnormalities identified through newborn or genetic screening
Risk assessment for hereditary conditions, particularly in cases of abnormal foetal development, family history of genetic diseases or consanguinity
 
Undiagnosed Case Service
We recognise that some individuals present with symptoms that do not match a known diagnosis. Our team, which includes a range of multidisciplinary professionals, is committed to assisting these individuals in finding a diagnosis.
For more information on Undiagnosed Case Service, click here
 
Laboratory Services
Biochemical Genetics Testing
Enzymes analysis
Amino acid analysis
Organic acid analysis
And more
Cytogenetic Testing
Chromosomal analysis
Fluorescent-in-situ hybridisation (FISH)
Chromosomal microarray analysis
Molecular Genetic Diagnostic Service
Familial or targeted variant testing
Comprehensive sequencing of a gene
Deletion or duplication gene analysis
Multigene panels
Whole exome sequencing 
Whole genome sequencing 
And more
 
Metabolic Diseases
Our team specialises in treating individuals and families affected by inborn errors of metabolism, which are rare individually but not uncommon as a group. Symptoms can manifest at any age, including adulthood, with an incidence rate of about 1 in 2,300 live births in Singapore
Our services include:
Newborn screening for inborn errors of metabolism
Diagnostic testing for individuals suspected to have inborn errors of metabolism
Management of individuals with inborn errors of metabolism
Genetic counselling for families at risk for such conditions
Click here to find out more about inborn errors of metabolism.
What To Expect At Your First Appointment
Your child will be evaluated by one of our paediatricians specialising in genetics and metabolic diseases, who will conduct a comprehensive review of his or her medical condition. Diagnosis and treatment will be tailored to your child’s specific condition. Recommendations for further testing or genetic counselling will be provided as needed.
Find Us
Khoo Teck Puat - National University Children's Medical Institute
For directions to the Khoo Teck Puat – National University Children’s Medical Institute, including access via MRT, drop-off points and parking information, click here.
For more information on our paediatric clinic or contact details, click here.
To make an appointment online, click here. 
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