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Tyrosinemia type I—Diagnostic issues and prenatal diagnosis

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Abstract

A fifteen-month-old boy, born to consanguineously married couple, presented with asymptomatic hepatomegaly. Investigations revealed midly deranged liver functions, necroinflammatory changes and cirrhosis on liver biopsy, a markedly raised alpha feto protein and tyrosine levels in plasma and a generalized aminoaciduria. His diagnosis of hereditary tyrosinemia was established on findings of raised serum and urine succinylacetone, and a deficient activity of fumaryl acetoacetate hydroxylase enzyme. Prenatal diagnosis of hereditary tyrosinemia was performed in a subsequent pregnancy in this family from India.

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References

  1. Mitchell GA, Grompe M, Lambert M, Tanguay RM. Hypertyrosinemia. In Scriver CR, Beaudet AL, Sly WS and Valle D, eds. The Metabolic and Molecular Bases of Inherited Disease. 8th edn. New York; McGraw-Hill Co, 2001: 1777–1806.

    Google Scholar 

  2. De Braekeleer M, Larochelle J. Genetic epidemiology of hereditary tyrosinemia in Quebec and in Saguenay-Lac-St-Jean.Am J Hum Genet 1990; 47: 302–307.

    PubMed  Google Scholar 

  3. Halvorsen S. Screening for disorders of tyrosine metabolism. In Bicke H, Guthrie R, Hammerson G, eds. Neonatal screening for inborn errors of met, bolism. New York; Springer-Verlag, 1980: 45.

    Google Scholar 

  4. Appaji Rao N, Radha Rama Devi A, Savithri HS, Venkat Rao S, Bittles AH. Neonatal screening for aminoacidemias in Karnataka, South India.Clin Genet 1988; 34: 60–63.

    Google Scholar 

  5. Verma IC. Burden of genetic disorders in India.Indian J Pediatr 2000; 67: 893–898.

    Article  PubMed  CAS  Google Scholar 

  6. Karnik D, Thomas N, Eapen CE, Jana AK, Oommen A. Tyrosinemia type I: A clinico-laboratory case report.Indian J Pediatr 2004; 10: 929–932.

    Google Scholar 

  7. Grenier A, Lescault A, Laberge C, Gagné R, Mamer O. Detection of succinylacetone and the use of its measurement in mass screening for hereditary tyrosinemia.Clin Chim Acta 1982; 123: 93–99.

    Article  PubMed  CAS  Google Scholar 

  8. Laberge C, Grenier A, Valet JP, Morissette J. Fumarylacetotase measurement as a mass-screening procedure for hereditary tyrosinemia type I.Am J Hum Genet 1990; 47: 325–328.

    PubMed  CAS  Google Scholar 

  9. McCormack MJ, Walker E, Gray RG, Newton JR, Green A. Fumarylacetoacetase activity in cultured and non-cultured chorionic villus cells, and assay in two high-risk pregnancies.Prenat Diagn. 1992; 12: 807–813.

    Article  PubMed  CAS  Google Scholar 

  10. Kvittingen EA. Hereditary tyrosinemia type I- an overview.Scand J Clin Lab Invest Suppl 1986; 184: 27–34.

    PubMed  CAS  Google Scholar 

  11. Sakai K, Kitagawa T. An atypical case of tyrosinosis (1-para-hydroxyphyenyllactic aciduria): I. Clinical and laboratory findings.Jikei Med J 1957; 2: 1.

    Google Scholar 

  12. Rezvani I. Defects in metabolism of amino acids. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. 17th edn. Philadelphia; Saunders, 2004: 402–403.

    Google Scholar 

  13. Heath SK, Gray RGF, McKiernan P, Au KM, Walker E and Green A. Mutation screening for tyrosinaemia type I.J Inherit Metab Dis 2002; 24: 523–4.

    Article  Google Scholar 

  14. Gagne R, Lescault A, Grenier A, Laberge C, Melancon SB, Dallaire L. Prenatal diagnosis of hereditary tyrosinaemia: measurement of succinylacetone in amniotic fluid.Prenatal Diag 1982; 2: 185–188.

    Article  PubMed  CAS  Google Scholar 

  15. Kvittingen EA, Halvorsen S, Jellum E. Deficient fumarylacetoacetate fumarylhydrolase activity in lymphocytes and fibroblasts from patients with hereditary tyrosinemia.Pediat Res 1983; 17: 541–544.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Ishwar C. Verma.

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Bijarnia, S., Puri, R.D., Ruel, J. et al. Tyrosinemia type I—Diagnostic issues and prenatal diagnosis. Indian J Pediatr 73, 163–165 (2006). https://doi.org/10.1007/BF02820214

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