Hyperphenylalaninaemia due to dihydropteridine reductase deficiency.

Abstract:

:Two siblings with increased levels of serum phenylalanine were detected by newborn screening. The older sibling deteriorated neurologically and mentally, despite early dietary control, and died at the age of 6 1/2 years. In the younger sibling phenylalanine hydroxylase activity in liver tissue was normal. Further investigations revealed increased concentrations of biopterin derivatives in the blood, a low excretion of 5-hydroxyindole acetic acid in the urine, and a dihydropteridine reductase deficiency as the cause of hyperphenylalaninaemia. The parents of the siblings showed 50% of the normal dihydropteridine reductase activity in their fibroblasts grown in culture. Neurotransmitter therapy was started in the second child at the age of 6 months and this was followed by distinct neurological and mental improvement.

journal_name

Eur J Pediatr

authors

Gröbe H,Bartholome K,Milstien S,Kaufman S

doi

10.1007/BF00442368

subject

Has Abstract

pub_date

1978-09-08 00:00:00

pages

93-8

issue

2

eissn

0340-6199

issn

1432-1076

journal_volume

129

pub_type

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