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dihydropyrimidine dehydrogenase deficiency; hereditary thymine-uraciluria; familial pyrimidinemia
Genetics:
- caused by defects in the DPYD gene
Pathology:
- persistent urinary excretion of excessive amounts of uracil, thymine & 5-hydroxymethyluracil
Clinical manifestations:
- severe reaction to anticancer drug 5-fluorouracil
- stomatitis, leukopenia, thrombocytopenia, hair loss, diarrhea, fever, marked weight loss, cerebellar ataxia, neurologic symptoms, progressing to semicoma
Laboratory:
- DPYD gene mutation
General
fibrosis
enzyme deficiency
Database Correlations
OMIM 274270
References
- OMIM :accession 274270
- ARUP Consult:
Dihydropyrimidine Dehydrogenase (DPYD), 3 Variants
https://arupconsult.com/ati/dihydropyrimidine-dehydrogenase