Maternal phenylketonuria

A rare disorder of phenylalanine metabolism, an inborn error of amino acid metabolism, characterized by the development of microcephaly, growth retardation, congenital heart disease, facial dysmorphism and intellectual disability in nonphenylketonuric offspring of mothers with excess phenylalanine (Phe) concentrations.



Input patient's signs and symptoms


Narrow down the case reports



Total: 34 (papers)

  


(per page)
Matched Phenotype  Gene  Mutation  MeSH
Rank
(Similarity)
PMID
(PMCID)
2
(39.0%)
3095585
Maternal phenylketonuria.
Koch R, Friedman EG, Wenz E, Jew K, Crowley C, Donnell G.
J Inherit Metab Dis. 1986;9 Suppl 2:159-68.
Microcephaly
Adult Females Homo sapiens Phenylketonurias Pregnancy Pregnancy Complications
2
(39.0%)
1915502
Maternal phenylketonuria syndrome in cousins caused by mild, unrecognized phenylketonuria in their mothers homozygous for the phenylalanine hydroxylase Arg-261-Gln mutation.
Superti-Furga A, Steinmann B, Duc G, Gitzelmann R.
Eur J Pediatr. 1991;150(7):493-7.
Microcephaly
PAH
p|SUB|R|261|Q;RS#:5030849 rs5030849
Adult Base Sequence Females Homo sapiens Homozygote Infant Infant, Newborn Male Microcephaly Molecular Sequence Data Mutation Phenylalanine Hydroxylase Phenylketonurias
2
(39.0%)
837853
[Children of mothers with phenylketonuria (author's transl)].
Hornchen H, Stuhlsatz HW, Plagemann L, Eberle P, Habedank M.
Dtsch Med Wochenschr. 1977;102(9):308-12.
Microcephaly
Cerebral Palsy Child Epilepsy Females Homo sapiens Intellectual Disability Male Maternal-Fetal Exchange Microcephaly Phenylketonurias Pregnancy Pregnancy Complications
24
(4.0%)
24051226
Undiagnosed phenylketonuria in parents of phenylketonuric patients, is it worthwhile to be checked?
Wiedemann A, Leheup B, Battaglia-Hsu SF, Jonveaux P, Jeannesson E, Feillet F.
Mol Genet Metab. 2013;110 Suppl:S62-5.
Hyperphenylalaninemia
Females Genetic Counseling Health Knowledge, Attitudes, Practice Health Risk Assessment Homo sapiens Infant, Newborn Lithuania Male Mutation Mutation Rate Neonatal Screening Phenylalanine Hydroxylase Phenylketonuria, Maternal Phenylketonurias Pregnancy
24
(4.0%)
19322676
Maternal tetrahydrobiopterin deficiency: the course of two pregnancies and follow-up of two children in a mother with 6-pyruvoyl-tetrahydropterin synthase deficiency.
Giewska M, Hnatyszyn G, Sagan L, Cyrylowski L, Zekanowski C, Modrzejewska M, Nestorowicz B, Kubalska J, Walczak M.
J Inherit Metab Dis. 2009;32 Suppl 1:S83-9.
Diabetes mellitus
PTS
Biopterin Child Child, Preschool Delayed Diagnosis Females Homo sapiens Infant, Newborn Male Phenylketonurias Phosphorus-Oxygen Lyases Pregnancy Pregnancy Complications Pregnancy Outcome Young Adult
24
(4.0%)
18201217
Neuropathology of a 4-month-old infant born to a woman with phenylketonuria.
Koch R, Verma S, Gilles FH.
Dev Med Child Neurol. 2008;50(3):230-3.
Ventriculomegaly
Adult Biopsy Cerebrosides Fatal Outcome Females Homo sapiens Infant Magnetic Resonance Imaging Phenylketonuria, Maternal Pregnancy Prosencephalon Sulfoglycosphingolipids
24
(4.0%)
16338627
Tetrahydrobiopterin and maternal PKU.
Koch R, Moseley K, Guttler F.
Mol Genet Metab. 2005;86 Suppl 1:S139-41.
Nausea and vomiting
p|SUB|F|39|L p|SUB|R|408|W
Adult Amino Acid Metabolism, Inborn Errors Biopterin Combined Modality Therapy Diet, Protein-Restricted Females Homo sapiens Infant, Newborn Mutation Neonatal Screening Phenylalanine Hydroxylase Phenylketonuria, Maternal Phenylketonurias Pregnancy
24
(4.0%)
10224766
[Maternal PKU syndrome as an obstetric problem: literature review and own clinical experience].
Rogowiecka E, Sendecka E, Chazan B, Cabalska B, Bankowska E.
Ginekol Pol. 1998;69(12):1007-15.
Cataract
Adult Females Homo sapiens Phenylketonuria, Maternal Pregnancy Pregnancy Complications Severity of Illness Index Syndrome
24
(4.0%)
10203668
Undiagnosed maternal phenylketonuria: the need for prenatal selective screening or case finding.
Hanley WB, Platt LD, Bachman RP, Buist N, Geraghty MT, Isaacs J, O'Flynn ME, Rhead WJ, Seidlitz G, Tishler B.
Am J Obstet Gynecol. 1999;180(4):986-94.
Hyperphenylalaninemia
Adult Females Fetal Diseases Homo sapiens Phenylketonuria, Maternal Pregnancy Pregnancy Outcome Retrospective Studies
24
(4.0%)
7333407
Maternal phenylketonuria: the outcome of pregnancy.
Lorijn RH, Sengers RC, Trijbels JM.
Eur J Obstet Gynecol Reprod Biol. 1981;12(5):281-5.
Amenorrhea
Females Homo sapiens Infant, Newborn Low Birth Weight Infant Microcephaly Phenylketonurias Pregnancy Pregnancy Complications
        

Phenotype(s) retrieved from Orphanet

    Total: 32

HPO ID Term Frequency
HP:0001627 Abnormal heart morphology Very frequent (99-80%)
HP:0000252 Microcephaly Frequent (79-30%)
HP:0001249 Intellectual disability Frequent (79-30%)
HP:0001263 Global developmental delay Frequent (79-30%)
HP:0001511 Intrauterine growth retardation Frequent (79-30%)
HP:0001680 Coarctation of aorta Frequent (79-30%)
HP:0001999 Abnormal facial shape Frequent (79-30%)
HP:0004383 Hypoplastic left heart Frequent (79-30%)
HP:0000218 High palate Occasional (29-5%)
HP:0000343 Long philtrum Occasional (29-5%)
HP:0000347 Micrognathia Occasional (29-5%)
HP:0000431 Wide nasal bridge Occasional (29-5%)
HP:0000463 Anteverted nares Occasional (29-5%)
HP:0000752 Hyperactivity Occasional (29-5%)
HP:0001250 Seizures Occasional (29-5%)
HP:0001629 Ventricular septal defect Occasional (29-5%)
HP:0001636 Tetralogy of Fallot Occasional (29-5%)
HP:0001719 Double outlet right ventricle Occasional (29-5%)
HP:0002079 Hypoplasia of the corpus callosum Occasional (29-5%)
HP:0000286 Epicanthus Very rare (4-1%)
HP:0000340 Sloping forehead Very rare (4-1%)
HP:0000486 Strabismus Very rare (4-1%)
HP:0000601 Hypotelorism Very rare (4-1%)
HP:0001156 Brachydactyly Very rare (4-1%)
HP:0001488 Bilateral ptosis Very rare (4-1%)
HP:0002032 Esophageal atresia Very rare (4-1%)
HP:0002836 Bladder exstrophy Very rare (4-1%)
HP:0004411 Deviated nasal septum Very rare (4-1%)
HP:0008589 Hypoplastic helices Very rare (4-1%)
HP:0009611 Bifid distal phalanx of the thumb Very rare (4-1%)
HP:0012210 Abnormal renal morphology Very rare (4-1%)
HP:0030084 Clinodactyly Very rare (4-1%)


Phenotype(s) retrieved from case reports

    Total: 10

HPO ID Term # of case reports
HP:0000252 Microcephaly 10
HP:0000756 Agoraphobia 1
HP:0001249 Intellectual disability 1
HP:0001250 Seizures 1
HP:0001629 Ventricular septal defect 1
HP:0002023 Anal atresia 1
HP:0002079 Hypoplasia of the corpus callosum 1
HP:0004923 Hyperphenylalaninemia 1
HP:0025356 Psychomotor retardation 1
HP:0100543 Cognitive impairment 1


Causative gene(s) retrieved from Orphanet

    Total: 1

Gene Symbol Gene Name Entrez Gene ID
PAH phenylalanine hydroxylase 5053