Hyperphenylalaninemia in a premature infant with heterozygosity for phenylketonuria

Verfasser / Beitragende:
[J.B. Hennermann, A. Loui, A. Weber, E. Mönch]
Ort, Verlag, Jahr:
2004
Enthalten in:
Journal of Perinatal Medicine, 32/4(2004-07-09), 383-385
Format:
Artikel (online)
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245 0 0 |a Hyperphenylalaninemia in a premature infant with heterozygosity for phenylketonuria  |h [Elektronische Daten]  |c [J.B. Hennermann, A. Loui, A. Weber, E. Mönch] 
520 3 |a Hyperphenylalaninemia in preterm neonates with heterozygosity for phenylketonuria has previously not been described. We report on a very low birth weight infant, born at a gestational age of 27+5 weeks with a birth weight of 1080 g. Due to a positive family history prenatal diagnosis for phenylketonuria was performed, revealing heterozygosity for classic phenylketonuria. Yet the girl showed hyperphenylalaninemia with a maximum serum phenylalanine concentration of 515 μmol/l on the eighth day of life. Phenylalanine-restrictive parenteral and enteral nutrition was kept from the eighth until the 41st day of life. At term serum phenylalanine concentrations had normalized. We hypothesize that heterozygosity for phenylketonuria may be a risk factor for hyperphenylalaninemia in preterm born infants. Prematurity and the resulting immaturity of liver function with the genetically determined reduced activity of phenylalanine hydroxylase might have caused hyperphenylalaninemia in this girl. 
540 |a Copyright © 2004 by Walter de Gruyter GmbH & Co. KG 
690 7 |a Human reproduction, growth & development  |2 nationallicence 
690 7 |a Gynaecology & obstetrics  |2 nationallicence 
690 7 |a Paediatric medicine  |2 nationallicence 
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700 1 |a Loui  |D A.  |4 aut 
700 1 |a Weber  |D A.  |4 aut 
700 1 |a Mönch  |D E.  |4 aut 
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