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HAWKINSINURIA

HAWKINSINURIA
4-@HYDROXYPHENYLPYRUVATE HYDROXYLASE DEFICIENCY
140350
OMIM = Online Mendelian Inheritance of Men
2118
4-hydroxyphenylpyruvate dioxygenase; 4-alpha-hydroxyphenylpyruvate hydroxylase
1.13.11.27
12q24.31
E70.2
very rare
autosomal dominant
Mutations in the 4-hydroxyphenylpyruvic acid dioxygenase gene (HPD) are responsible for tyrosinemia type III and hawkinsinuria [Tomoeda K et al. 2000]
Laboratory findingsHawkinsin inc (urine)
   L-Pyroglutamic acid (5-Oxoproline) inc (urine)
    4-Hydroxycyclohexylacetic acid inc (urine)
    4-Hydroxyphenylacetic acid inc (urine)
    4-Hydroxyphenyllactic acid inc (urine)
    4-Hydroxyphenylpyruvic acid inc (urine)
    Bicarbonate dec (blood)
    Hawkinsin inc (plasma)
    Ketone bodies (urine) normal/inc (urine)
    L-Tyrosine inc (plasma)
    pH dec (blood)
    Succinylacetone normal (urine)
Symptoms   failure to thrive
   liver involvement or dysfunction
   radiohumeral synostosis
   skeletal changes, skeletal abnormalities
    ketosis, ketoacidosis
    mental retardation
    metabolic acidosis
    no clinical symptoms (probably)
    onset, childhood
    onset, infancy
    swimming pool odor