## Abstract Little information is available on the longβterm course and adult outcome of patients with 6βpyruvoylβtetrahydropterin synthase (PTPS) deficiency. We describe the course of a 32βyearβold woman with hypotonia, dystonia, choreoathetosis, mental retardation, behavioral disturbances, and in
Phenotypic variability, neurological outcome and genetics background of 6-pyruvoyl-tetrahydropterin synthase deficiency
β Scribed by V Leuzzi; Ca Carducci; Cl Carducci; S Pozzessere; A Burlina; R Cerone; D Concolino; MA Donati; L Fiori; C Meli; A Ponzone; F Porta; P Strisciuglio; I Antonozzi; N Blau
- Book ID
- 110888920
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 516 KB
- Volume
- 77
- Category
- Article
- ISSN
- 0009-9163
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## Abstract We report the case of a 44βyearβold woman with a partial 6βpyruvoyl tetrahydropterin synthase (6βPTS) deficiency, whose predominant clinical symptom was generalized dystonia with marked diurnal fluctuation. Dystonia was present in the eyelids, oromandibular region, trunk, and extremitie
6-Pyruvoyl-tetrahydropterin synthase (PTS), a key enzyme in the synthesis of tetrahydrobiopterin in man, is defective in the most frequent variant of tetrahydrobiopterin-deficient hyperphenylalaninaemia (atypical phenylketonuria). An assay for PTS activity in erythrocytes was developed. It is based
Hyperphenylalaninemia (HPA) may be caused by deficiency of phenylalanine hydroxylase or tetrahydrobiopterin (BH4), the essential cofactor for the aromatic amino acid hydroxylases. 6-Pyruvoyl-tetrahydropterin synthase (PTPS) deficiency is a major cause of BH4 deficient HPA. In this study, seven singl