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Mol Genet Metab ; 81(2): 137-9, 2004 Feb.
Article in English | MEDLINE | ID: mdl-14741196

ABSTRACT

We report on the long-term follow-up of the first Italian patient with the tetrahydrobiopterin (BH4)-responsive type of phenylalanine hydroxylase deficiency (R243X/Y414C genotype). The patient was diagnosed by the newborn screening for phenylketonuria (PKU) and with a positive BH4 loading test. Introduction of BH4 (initially 10 and later 20 mg/kg/day) in addition to reduced low-phenylalanine diet resulted in therapeutic plasma phenylalanine concentrations (<340 micromol/L). Very good compliance and no side effects in this patient demonstrate the great potential of BH4 in the treatment of some patients with mild PKU.


Subject(s)
Biopterins/analogs & derivatives , Biopterins/genetics , Mutation , Phenylketonurias/genetics , Female , Follow-Up Studies , Humans , Infant, Newborn
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