Search
hyperphenylalaninemia
Pathology:
- different variants with increasing levels of blood phenylalanine associated with increasing severity
- phenylketonuria is most severe form
- depletion of the neurotransmitters dopamine & serotonin
Genetics:
- autosomal recessive
- associated with defects in PAH
- hyperphenylalaninemia with primapterinuria associated with defects in PCBD1
- associated with defects in PTS
Clinical manifestations:
- severe neurological symptoms unresponsive to the classic phenylalanine-low diet
- hyperphenylalaninemia with primapterinuria may be asymptomatic [5]
Laboratory:
- elevated levels of blood phenylalanine (normal < 100 pM)
- urine chemistry: excretion of 7-substituted pterins in urine of affected patients
- PAH gene mutation
Related
phenylalanine
phenylalanine in blood
Specific
phenylketonuria (PKU)
General
sign/symptom
Database Correlations
OMIM correlations
References
- OMIM :accession 261600
- OMIM :accession 264070
- OMIM :accession 261640
- Blau N et al,
Primapterinuria: a new variant of atypical phenylketonuria.
J Inherit Metab Dis. 1989;12 Suppl 2:335
PMID: 2512438
- Hyperphenylalaninemia with primapterinuria
http://www.wrongdiagnosis.com/h/hyperphenylalaninemia_with_primapterinuria/intro.htm