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Tetrahydrobiopterin-responsive phenylketonuria

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Disease definition

A form of phenylketonuria (PKU), an inborn error of amino acid metabolism, characterized by mild to moderate symptoms of PKU including impaired cognitive function, seizures, and behavioral and developmental disorders, and a marked reduction of elevated phenylalanine concentrations after oral loading with tetrahydrobiopterin (BH4), an essential cofactor of phenylalanine hydroxylase.

ORPHA:293284

Classification level: Subtype of disorder

Synonym(s):
  • BH4-responsive phenylketonuria
  • BH4-responsive PKU
  • Tetrahydrobiopterin-responsive PKU

Source: PubMed ID 29025426

Prevalence: Unknown

Inheritance: Autosomal recessive

Age of onset: Infancy, Neonatal

ICD-10: E70.1

OMIM: 261600

UMLS: C5679945

A summary on this disease is available in Français, Español, Deutsch, Italiano, Nederlands Polski, Ελληνικά, Русский
Detailed information

Logo ERN: produced/endorsed by ERN(s) Logo FSMR: produced/endorsed by FSMR(s)

General public
Article for general public
Svenska (2020) - Socialstyrelsen
Guidelines
Emergency guidelines
Français (2014.pdf) - Orphanet Urgences
Español (2019.pdf) - Orphanet Urgences
Clinical practice guidelines
English (2025) - Mol Genet Metab
English (2021) - Orphanet J Rare Dis Logo ERN
English (2020) - Orphanet J Rare Dis
English (2025) - Genet Med
Disease review articles
Review article
English (2025) - Orphanet J Rare Dis
Clinical genetics review
English (2025) - GeneReviews
Genetic testing
Guidance for genetic testing
English (2011) - Eur J Hum Genet
Patient-Centered Outcome Measures (PCOMs)
Access questionnaires assessing quality of life in this disease (English)
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