Conditions / Genetic

BH4-deficient hyperphenylalaninemia B

info ยท Genetic

A tetrahydrobiopterin (BH4)-deficient hyperphenylalaninemia that is characterized by hyperphenylalaninemia, depletion of the neurotransmitters dopamine and serotonin, and progressive cognitive and motor deficits that has_material_basis_in homozygous or compoun

A tetrahydrobiopterin (BH4)-deficient hyperphenylalaninemia that is characterized by hyperphenylalaninemia, depletion of the neurotransmitters dopamine and serotonin, and progressive cognitive and motor deficits that has_material_basis_in homozygous or compound heterozygous mutation in the GCH1 gene on chromosome 14q22.2.

Signs and symptoms

  • Dystonia
  • Seizure
  • Hypotonia
  • Generalized hypotonia
  • Decreased urinary biopterin level
  • Increased CSF phenylalanine concentration
  • Choreoathetosis
  • Feeding difficulties
  • Poor suck
  • Global developmental delay

Also known as: GTP cyclohydrolase 1 deficiency; HPABH4B; tetrahydrobiopterin-deficient hyperphenylalaninemia B