Article
Autosomal recessive GTP cyclohydrolase I deficiency without hyperphenylalaninemia: evidence of a phenotypic continuum between dominant and recessive forms.
Molecular genetics and metabolism - 1 May 2008
Horvath Gabriella A, Stockler-Ipsiroglu Sylvia G, Salvarinova-Zivkovic Ramona, Lillquist Yolanda P, Connolly Mary, Hyland Keith, Blau Nenad, Rupar Tony, Waters Paula J
Abstract excerpt
We describe a unique presentation of autosomal recessive (AR) GTP cyclohydrolase I (GTPCH) deficiency, with severe CNS involvement but without hyperphenylalaninemia. A male infant presented with progressive spasticity, dystonia and oculogyric episodes. Blood phenylalanine levels were persistently normal: whereas an oral phenylalanine loading test revealed impaired phenylalanine clearance. CSF neopterin and...
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