Presentation
GTP cyclohydrolase deficiency presents with an autosomal dominant and an autosomal recessive form. [invitae.com]
The clinical presentation is similar to that observed with PTS deficiency. [pediatricmotordisorders.org]
All other enzymes present in Plasmodium falciparum phenylalanine and tyrosine metabolism pathway are also present in T. gondii and N. caninum. [llamp.net]
BH4 is ubiquitous and is likely present in all cells and tissues but current knowledge of the regulatory mechanism of BH4 in the brain is far from complete [14]. [journals.plos.org]
No, but both diseases present with elevated blood phenylalanine levels. In addition BH4 -deficient patients present with deficiency of catecholamines and serotonin in the brain. [excemed.org]
Entire Body System
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Developmental Delay
The initial presentation includes abnormal movements and developmental delay in the first few months of life. [invitae.com]
delay despite a phenylalanine-restricted diet. [pediatricmotordisorders.org]
delay, seizures, ataxia Treatment: Dietary phenylalanine and tyrosine restriction, ascorbate supplementation 4-Hydroxyphenylpyruvate dioxygenase Not genetic Biochemical profile: Elevated plasma phenylalanine and tyrosine Clinical features: Usually occurring [msdmanuals.com]
Increased Risk During Pregnancy According to an abstract from the American Academy of Pediatrics (AAP), elevated levels of phenylalanine -- even mildly elevated levels -- during pregnancy may increase the risk of developmental delays and growth delays [vitamins.lovetoknow.com]
Abstract Elevated maternal phenylalanine concentrations during pregnancy are teratogenic and may result in growth retardation, microcephaly, significant developmental delays, and birth defects in the offspring of women with poorly controlled phenylketonuria [pediatrics.aappublications.org]
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Progressive Mental Retardation
Untreated individuals have very fair hair, eczema, a mousy odor of the urine and skin, and progressive mental retardation. Treatment consists of a diet low in phenylalanine. [medical-dictionary.thefreedictionary.com]
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Pathologist
PMID: 11581453 Assay Assay and technical information Invitae is a College of American Pathologists (CAP)-accredited and Clinical Laboratory Improvement Amendments (CLIA)-certified clinical diagnostic laboratory performing full-gene sequencing and deletion [invitae.com]
Eyes
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Eye Movements Abnormal
Such patients have severe global developmental impairment, marked hypotonia of the trunk and axial muscles, eye movement abnormalities, limb hypertonia, convulsions and autonomic symptoms including temperature dysregulation, excessive diaphoresis and [pediatricmotordisorders.org]
Psychiatrical
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Fear
Too much, as you mentioned, is associated with fear, anxiety, stress, and at extreme levels perhaps stroke, etc. [bluelight.org]
Treatment
Fuller RN, Shuman JB (1969) Phenylketonuria and intelligence: trimodal response to dietary treatment. Nature 221:639–642 Google Scholar 16. [link.springer.com]
It maintains a clinical focus while providing state-of-the-art diagnosis and treatment techniques. [books.google.de]
Treatment involves oral L-dopa replacement and BH4 supplementation. PTS deficiency presents with severe and attenuated forms. [invitae.com]
Without folinic acid to restore methyltetrahydrofolate status in the CNS, these patients can have progressive calcification of the basal ganglia and subcortical regions, despite treatment with BH4 and neurotransmitter precursors. [pediatricmotordisorders.org]
Prognosis
Patients with the peripheral form have an excellent prognosis for normal neurologic development, provided the hyperphenylalaninemia is corrected by diet or BH4 administration. [pediatricmotordisorders.org]
The attenuated form is considered peripheral and has an excellent prognosis with treatment that includes supplemental BH4 and dietary phenylalanine restriction. [invitae.com]
Prognosis Prognosis is excellent for normal development when treated as indicated. Patient Education Teach patients and parents about proper diet. Children should participate in their dietary planning as soon as they have that ability. [emedicine.medscape.com]
Prognosis Early newborn screening, careful monitoring, and a life-long strict dietary management can help PKU patients to live normal, healthy, and long lives. Resources Books Brust, John C. M. [medical-dictionary.thefreedictionary.com]
Counseling and Follow-up With early diagnosis of PKU and institution of the phenylalanine-restricted diet, the prognosis for intellectual development in affected children is excellent. [aafp.org]
Etiology
"Phenylalanine assembly into toxic fibrils suggests amyloid etiology in phenylketonuria". Nature Chemical Biology. 8 (8): 701–6. doi : 10.1038/nchembio.1002. PMID 22706200. Surtees R, Blau N (2000). "The neurochemistry of phenylketonuria". [en.wikipedia.org]
In: Etiologic Factors in Mental Retardation: Report of the Twenty-third Ross Pediatric Research Conference. Columbus, OH: Ross Laboratories; 1957:28–33 Mabry CC, Denniston JC, Nelson TL, Son CD. [pediatrics.aappublications.org]
Epidemiology
Epidemiology Frequency United States Frequency is approximately 15-75 cases per 1,000,000 births. International The condition is less prevalent than classic PKU and shows less variation in incidence among populations. [emedicine.medscape.com]
Footnotes Note: Supplementary data for this article are available at Cancer Epidemiology, Biomarkers & Prevention Online (). Received August 22, 2014. Revision received October 4, 2014. [cebp.aacrjournals.org]
Pathophysiology
Pathophysiology reviews include special illustrations to explain complicated disease processes. NEW! Complementary & Alternative Therapy boxes include timely information on alternative medicine as a part of complete, comprehensive care. NEW! [books.google.de]
Werner ER, Blau N, Thony B (2011) Tetrahydrobiopterin: biochemistry and pathophysiology. Biochem J 438: 397–414. View Article Google Scholar 15. [journals.plos.org]
Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test Phenylketonuria (PKU) is the most frequent inherited disorder of amino acid metabolism (about 1:10,000-1:15,000) and was the [mayomedicallaboratories.com]
Pathophysiology Hyperphenylalaninemia is the term used to describe the mildest manifestation of phenylalanine hydroxylase deficiency, with classic PKU representing the more severe end of this spectrum. [15] Broad genotype/phenotype correlations have been [emedicine.medscape.com]
Prevention
The strattera molecule comes in and prevents reuptake pumps from taking out norepiphrine from the receptor. Jesus christ, i am really fucking high right now. O_O Dr. Horwath seems to say otherwise. [bluelight.org]
Health promotion chapters emphasize principles of wellness and injury prevention for each age group. [books.google.de]
C-terminal tyrosines to aspartate or glutamate to mimic phosphorylation increases trans-activation of the reporter in 293T cells and allows induction of Cebpa or Pu.1 mRNAs in 32Dcl3 myeloid cells, whereas mutation of these residues to phenylalanine to prevent [ncbi.nlm.nih.gov]
If you have PKU, you can prevent symptoms by following your PKU meal plan throughout your life. [healthline.com]
The results may relate to an abnormal PAH function in schizophrenia that could become a target for novel preventative and interventional approaches. [journals.plos.org]