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Information Journal Paper

Title

Clinical and Paraclinical Characteristics of Non-Classic Phenylketonuria

Pages

  131-138

Abstract

 Objective: Phenylketonuria (PKU) is one of the most common inherited metabolic diseases, which is classified into classic and non-classic types. It is estimated that 2% of children with PKU develop a severe and progressive neurological disease, called non-classic (malignant) PKU. This study aimed to demonstrate the clinical features, laboratory findings, and diagnostic/therapeutic characteristics of Non-classic PKU patients referred to a tertiary referral center for children in Tehran, Iran. Materials & Methods: In this study, background information, such as gender and age, clinical manifestations, laboratory findings, and response rate to conventional treatment, was investigated in patients with Non-classic PKU, who were referred to Mofid Children’ s Hospital in Tehran, Iran, through neonatal screening. Results: Twenty patients with a diagnosis of Non-classic PKU were included in this study. The mean age of the patients was 6. 00± 2. 81 years (range: 2-12 years), and 45. 0% were male. In patients with a late diagnosis, the most common presentations were motor developmental delay (15. 0%), skin and cutaneous manifestations (15. 0%), seizure (5. 0%), and restlessness (5. 0%). The overall response rate to treatment was 85. 0%. Factors that predict good response to treatment included female gender, higher neopterin level, and lower age at diagnosis and management. Conclusion: In conclusion, about half of patients with Non-classic PKU remain asymptomatic, which is due to early diagnosis via neonatal screening. Also, higher age at diagnosis and treatment, besides low neopterin levels, may be useful as prognostic factors.

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  • Cite

    APA: Copy

    SHAKIBA, MARJAN, SANEIFARD, HEDYEH, ALAEI, MOHAMMADREZA, MOSALLANEJAD, ASIEH, LOTFI, Mojtaba, YASAEI, Mehrdad, & ALIZADE NADERI, Elahe. (2021). Clinical and Paraclinical Characteristics of Non-Classic Phenylketonuria. IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN), 15(3), 131-138. SID. https://sid.ir/paper/686025/en

    Vancouver: Copy

    SHAKIBA MARJAN, SANEIFARD HEDYEH, ALAEI MOHAMMADREZA, MOSALLANEJAD ASIEH, LOTFI Mojtaba, YASAEI Mehrdad, ALIZADE NADERI Elahe. Clinical and Paraclinical Characteristics of Non-Classic Phenylketonuria. IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN)[Internet]. 2021;15(3):131-138. Available from: https://sid.ir/paper/686025/en

    IEEE: Copy

    MARJAN SHAKIBA, HEDYEH SANEIFARD, MOHAMMADREZA ALAEI, ASIEH MOSALLANEJAD, Mojtaba LOTFI, Mehrdad YASAEI, and Elahe ALIZADE NADERI, “Clinical and Paraclinical Characteristics of Non-Classic Phenylketonuria,” IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN), vol. 15, no. 3, pp. 131–138, 2021, [Online]. Available: https://sid.ir/paper/686025/en

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