Other genetic conditions


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Other genetic conditions

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Figure 129.1 Main areas of muscle weakness affected Duchenne muscular dystrophy

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Figure 129.2 Phenylketonuria (PKU)


Phenylketonuria


Phenylketonuria (PKU) is an autosomal recessive human genetic disorder caused by a deficiency of hepatic phenylalanine hydroxylase enzyme activity, which prevents hydroxylation of phenylalanine into tyrosine.


PKU is a common inborn error of amino acid metabolism in Caucasian populations and approximately 1 in 50 are carriers of a PKU allele. The genetic disorder causes impairment of postnatal brain development, resulting in severe mental retardation in untreated children.


Phenylalanine is an essential amino acid provided by food that has a key role in the production of other amino acids. It is converted to tyrosine, used in the production of neurotransmitters.


How is PKU detected



  • Every newborn baby is tested for PKU by taking a blood sample heel prick test measuring the level of phenylalanine.
  • Normal range of phenylalanine average <120 μmol/L (<2 mg/dL).
  • In PKU, blood phenylalanine levels can range from normal level of <60–7200 μmol/L (1–120 mg/dL), up to 80 times more than the normal level.
  • If the babies’ blood test results are outside the normal PKU range, they will be retested for confirmation and then immediately put on the standard treatment for PKU; a lifelong restricted diet.

Treatment

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Jun 7, 2018 | Posted by in NURSING | Comments Off on Other genetic conditions

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