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Molecular genetics and diagnosis of phenylketonuria: state of the art.
[phenylketonuria]
Detection
of
individuals
with
phenylketonuria
(
PKU
)
,
an
autosomal
recessively
inherited
disorder
in
phenylalanine
degradation
,
is
straightforward
and
efficient
due
to
newborn
screening
programs
.
A
recent
introduction
of
the
pharmacological
treatment
option
emerged
rapid
development
of
molecular
testing
.
However
,
variants
responsible
for
PKU
do
not
all
suppress
enzyme
activity
to
the
same
extent
.
A
spectrum
of
over
850
variants
,
gives
rise
to
a
continuum
of
hyperphenylalaninemia
from
very
mild
,
requiring
no
intervention
,
to
severe
classical
PKU
,
requiring
urgent
intervention
.
Locus-
specific
and
genotypes
database
are
today
an
invaluable
resource
of
information
for
more
efficient
classification
and
management
of
patients
.
The
high
-tech
molecular
methods
allow
patients
'
genotype
to
be
obtained
in
a
few
days
,
especially
if
each
laboratory
develops
a
panel
for
the
most
frequent
variants
in
the
corresponding
population
.
Diseases
Validation
Diseases presenting
"hyperphenylalaninemia"
symptom
classical phenylketonuria
homocystinuria without methylmalonic aciduria
phenylketonuria
This symptom has already been validated