Słowik M, Mańkowski T
Instytutu Matki i Dziecka, Warszawie.
Pol Tyg Lek. 1992;47(9-10):236-7.
A case of non-typical phenylketonuria produced by the inactivity of dihydrobiopterin synthetases is presented. Dihydrobiopterin synthetases are enzymes converting neopterin to biopterin. Presented case indicates a possibility of erroneous classification of hyperphenylalaninemia due to BH4 deficit, if the complete differential diagnosis is not performed. A complete differential diagnosis is necessary in all cases of hyperphenylalaninemia distinguished in neonates during screening tests.
本文报告了一例因二氢生物蝶呤合成酶失活导致的非典型苯丙酮尿症病例。二氢生物蝶呤合成酶是将新蝶呤转化为生物蝶呤的酶。该病例表明,如果不进行全面的鉴别诊断,可能会错误地将因四氢生物蝶呤(BH4)缺乏导致的高苯丙氨酸血症进行分类。对于新生儿筛查中发现的所有高苯丙氨酸血症病例,进行全面的鉴别诊断是必要的。