Huang Shangzhi, Song Fang
Peking Union Medical College, WHO Collaborating Center for Community Control of Hereditary Diseases, Beijing 100005, China.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2020 Mar 10;37(3):226-234. doi: 10.3760/cma.j.issn.1003-9406.2020.03.002.
Phenylketonuria (PKU) is an autosomal recessive hereditary disease and a common disorder of amino acid metabolism. The average incidence of PKU in China is approximately 1/11 000. It is characterized by lower incidence in the South and higher incidence in the North, particularly the Northwest. PKU is a treatable disease and has been listed in the national newborn screening program. Neonates with positive indication of screening can achieve satisfactory therapeutic effect by timely control of phenylalanine intake after the definite diagnosis. This guideline aims to summarize the knowledge of medical genetics and key points of clinical management of PKU, so as to improve the diagnostic level and standardize newborn screening and clinical treatment of patients.
苯丙酮尿症(PKU)是一种常染色体隐性遗传性疾病,也是一种常见的氨基酸代谢紊乱疾病。在中国,苯丙酮尿症的平均发病率约为1/11000。其特点是南方发病率较低,北方尤其是西北地区发病率较高。苯丙酮尿症是一种可治疗的疾病,已被列入国家新生儿筛查项目。筛查指标呈阳性的新生儿在确诊后通过及时控制苯丙氨酸摄入量可取得满意的治疗效果。本指南旨在总结苯丙酮尿症的医学遗传学知识和临床管理要点,以提高诊断水平,规范患者的新生儿筛查和临床治疗。