Abstract
A male infant is described who never manifested phenylketonuria even though phenylalanine hydroxylase activity was undetectable in liver tissue. Plasma phenylalanine were elevated in the range typical of PKU patients when the baby was at breast and declined with institution of a low phenylalanine diet. Physical and psychomotor development were normal with the baby on the latter treatment. The results indicate that the absence of phenylketonuria does not rule out phenylalanine hydroxylase activity.
Similar content being viewed by others
References
Auerbach, V. H., DiGeorge, A. M.: Defective phenylalanine transamination as a cause of phenylalaninemia. In: Phenylketonuria, Bickel, H., Hudson, F. P., Woolf, L. I. (eds.), p. 87. Stuttgart: Thieme 1971
Wadman, S., v. d. Heiden, C., Ketting, D., v. Sprang, F. J.: Abnormal tyrosine and phenylalanine metabolism in patients with tyrosyluria and phenylketonuria; gas liquid chromatographic analysis of urinary metabolites. Clin. Chim. Acta 34, 277–287 (1971)
Westwood, A., Raine, D. N.: Heterozygote detection in phenylketonuria. J. Med. Genet. 12, 327–333 (1975)
Griffin, R. F., Elsas, L. J.: Classic phenylketonuria: diagnosis through heterozygote detection. J. Pediatr. 86, 512–517 (1975)
Jagenburg, R., Regardh, C., Rodjer, S.: Detection of heterozygotes for phenylketonuria. Total body phenylalanine clearance and concentrations of phenylalanine and tyrosine in the plasma of fasting subjects compared. Clin. Chem. 23, 1654–1660 (1977)
Armstrong, M. D., Low, N. L.: Phenylketonuria VIII. Relation between age, serum phenylalanine levels and phenylpyruvic acid excretion. Proc. Soc. Exp. Biol. Med. 94, 142–146 (1957)
Koepp, P., Scholtyssek, M., Plettner, C.: Urinary excretion of aromatic acids in hyperphenylalaninemic states: response to a protein challenge. Eur. J. Pediatr. 127, 269–278 (1978)
Koepp, P., Hoffmann, B.: Detection of heterozygotes for phenylketonuria and hyperphenylalaninemia by gas-chromatographic analysis of aromatic acid excretion in urine. Clin. Chim. Acta 58, 215–221 (1975)
Author information
Authors and Affiliations
Additional information
Supported by grants CRC RR 00246 from the National Institute of Health and 1-638 from the National Foundation March of Dimes. Dr. Yudkoff is a recipient of grant 140-1977 from the Daland Fund of the American Philosophical Society
Rights and permissions
About this article
Cite this article
Yudkoff, M., Segal, S. Absent phenylalanine hydroxylase activity without phenylketonuria. Eur J Pediatr 134, 85–86 (1980). https://doi.org/10.1007/BF00442409
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00442409