Autosomal recessive conditions Flashcards

1
Q

Phenylketonuria

A

PKU

  • inborn error of metabolism involving impaired metabolism of phenylalanine
  • caused by deficits in phenylalanine hydroxylase
  • causes phenylalanine to build up
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2
Q

Symptoms of PKU

A
  • microcephaly
  • hypopigmentation
  • language delay
  • severe LD
  • hyperactivitiy
  • self-injury
  • seziures
  • musty odour in skin
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3
Q

Management of PKU

A

-restricting diet

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4
Q

Hurler syndrome

A
  • deficiency of alpha-L iduronidase

- causes an accumulation of glycosaminoglycans

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5
Q

Features of Hurlers

A
  • short
  • hepatosplenomegaly
  • unique facial features
  • developmental delay is evident by the end of the first year
  • affected individuals stop developing between the ages of 2 and 4
  • death is frequently before the age of 10
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6
Q

Safillipo disease

A
  • due to disorders of the breakdown of heparan sulphate
  • incidence of 1/70,000
  • poor prognosis (10-20 years old)
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7
Q

Sanfillipo characteristics

A
  • severe LD
  • claw hand
  • dwarfism
  • hypertrichosis
  • hearing loss
  • hepatosplenomegaly
  • biconvex lumbar vertebrae
  • joint stiffness
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8
Q

Behaviour problems in safillipo

A
  • restlessness
  • sleep problems
  • challenging behaviour
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9
Q

Laurence-Moon -Biedl syndrome

A

-associated with multiple loci (11q13,11q21, 15q22, 3p13)

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10
Q

Laurence-Moon -Biedl syndrome features

A
  • retinitis pigmentosa
  • extra digits (polydactyly)
  • spastic paraplegia
  • nightblindness
  • hypogonadism
  • NIDDM
  • renal roblems
  • mild to moderate LD
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