Cranial computerized tomography in dihydropteridine reductase deficiency

Dihydropteridine reductase deficiency is a rare cause of hyperphenylalaninaemia, characterized by severe and progressive neurological impairment, despite early and accurate dietary control of plasma phenylalanine. We describe two girls, diagnosed at 17 and 14 months of age, respectively, and immedia...

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Veröffentlicht in:Journal of inherited metabolic disease 1985-09, Vol.8 (3), p.109-112
Hauptverfasser: Longhi, R., Valsasina, R., Buttè, C., Paccanelli, S., Riva, E., Giovannini, M.
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container_end_page 112
container_issue 3
container_start_page 109
container_title Journal of inherited metabolic disease
container_volume 8
creator Longhi, R.
Valsasina, R.
Buttè, C.
Paccanelli, S.
Riva, E.
Giovannini, M.
description Dihydropteridine reductase deficiency is a rare cause of hyperphenylalaninaemia, characterized by severe and progressive neurological impairment, despite early and accurate dietary control of plasma phenylalanine. We describe two girls, diagnosed at 17 and 14 months of age, respectively, and immediately treated withl‐dopa, 5‐hydroxytryptophan and carbidopa. In spite of an adequate dietary and pharmacological treatment, the clinical and neurological pictures progressively worsened. Repeated cranial computerized axial tomography scans showed degeneration of the white matter and, in one case, calcification of the basal ganglia. The possible association of this last finding with folate depletion is discussed.
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subjects Amino Acid Metabolism, Inborn Errors - diagnostic imaging
Aminoacid disorders
Atrophy
Basal Ganglia Diseases - diagnostic imaging
Biological and medical sciences
Brain Diseases - diagnostic imaging
Calcinosis - diagnostic imaging
Developmental Disabilities - metabolism
Errors of metabolism
Female
Humans
Infant
Medical sciences
Metabolic diseases
NADH, NADPH Oxidoreductases - deficiency
Phenylalanine - blood
Phenylketonurias
Tomography, X-Ray Computed
title Cranial computerized tomography in dihydropteridine reductase deficiency
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