Homocystinuria Flashcards
1
Q
What causes homocystinuria?
A
Deficiency of cystathionine B-synthetase
2
Q
What substrate are you unable to break down if you have a deficiency of cystathionine B-synthetase?
A
methionine
3
Q
How is homocystinuria inherited?
A
Autosomal recessive
4
Q
Name 7 features of homocystinuria
A
- No acute decompensation
- Intellectual disability
- Tall stature
- Osteoporosis
- Recurrent thombosis
- Ectopia lentis
- Psychological/behavioural disorders
5
Q
How do you diagnose homocystinuria?
A
High serum homocystine, and high methionine in urine,
also can be detected by NB screening
6
Q
Name 4 tx measures for homocystinuria
A
- Minority respond to pyridoxine (vit B6)
- Betaine (decreases hemocystine)
- Apspirin tx for stroke prevention
- Dietary methionine restriction