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哺乳期与苯丙酮尿症

Lactation and phenylketonuria.

作者信息

Bradburn N C, Wappner R S, Lemons J A, Meyer B A, Roberts R S

出版信息

Am J Perinatol. 1985 Apr;2(2):138-41. doi: 10.1055/s-2007-999931.

DOI:10.1055/s-2007-999931
PMID:4096753
Abstract

Many young women who were diagnosed as having phenylketonuria (PKU) during routine neonatal screening and effectively treated during childhood are now of childbearing age. Recent reports suggest that maternal dietary therapy instituted before conception may improve the likelihood of a successful pregnancy and normal offspring. However, it is not known whether the intake of phenylalanine (phe) should be restricted during lactation. While phe levels in breast milk from women with PKU are markedly elevated, to our knowledge serum phe levels have not been measured in nursing newborn infants of PKU mothers. The present case report describes the pregnancy and early lactation of a mother with PKU, including serial measurements of serum phe levels in her offspring while being breast-fed.

摘要

许多在常规新生儿筛查中被诊断为患有苯丙酮尿症(PKU)且在儿童期得到有效治疗的年轻女性现在已到生育年龄。最近的报告表明,在受孕前开始的母体饮食疗法可能会提高成功怀孕和生出正常后代的可能性。然而,尚不清楚在哺乳期是否应限制苯丙氨酸(phe)的摄入量。虽然患有PKU的女性母乳中的phe水平明显升高,但据我们所知,尚未对PKU母亲哺乳的新生儿的血清phe水平进行测量。本病例报告描述了一位患有PKU的母亲的怀孕和早期哺乳期情况,包括对其母乳喂养的后代进行血清phe水平的系列测量。

相似文献

1
Lactation and phenylketonuria.哺乳期与苯丙酮尿症
Am J Perinatol. 1985 Apr;2(2):138-41. doi: 10.1055/s-2007-999931.
2
[Differential diagnosis and therapy of various forms of hyperphenylalaninemia: facts and fiction].[各种形式高苯丙氨酸血症的鉴别诊断与治疗:事实与误区]
Wien Klin Wochenschr. 1992;104(16):503-9.
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Pediatrics. 2003 Dec;112(6 Pt 2):1566-9.
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Impact of the phenylalanine hydroxylase gene on maternal phenylketonuria outcome.苯丙氨酸羟化酶基因对母体苯丙酮尿症结局的影响。
Pediatrics. 2003 Dec;112(6 Pt 2):1530-3.
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Role of nutrition in pregnancy with phenylketonuria and birth defects.营养在苯丙酮尿症妊娠及出生缺陷中的作用。
Pediatrics. 2003 Dec;112(6 Pt 2):1534-6.
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Phenylketonuria and maternal phenylketonuria.苯丙酮尿症与母体苯丙酮尿症
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Pregnancy experiences in the woman with mild hyperphenylalaninemia.轻度高苯丙氨酸血症女性的妊娠经历。
Pediatrics. 2003 Dec;112(6 Pt 2):1548-52.
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Maternal phenylketonuria: a metabolic teratogen.母体苯丙酮尿症:一种代谢性致畸物。
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[Did the change of technique of screening investigations influence on improvement of test credibility in recognizing and differentiating diagnostics of hiperphenylalaninemias?].[筛查检查技术的改变是否对提高高苯丙氨酸血症诊断识别和鉴别诊断的检测可信度有影响?]
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Carnitine status in early-treated children, adolescents and young adults with phenylketonuria on low phenylalanine diets.采用低苯丙氨酸饮食的早治疗苯丙酮尿症儿童、青少年及青年成人的肉碱状况
Ann Nutr Metab. 2008;53(2):91-5. doi: 10.1159/000165356. Epub 2008 Oct 22.

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The complete European guidelines on phenylketonuria: diagnosis and treatment.《苯丙酮尿症的完整欧洲指南:诊断与治疗》。
Orphanet J Rare Dis. 2017 Oct 12;12(1):162. doi: 10.1186/s13023-017-0685-2.