GTP cyclohydrolase I deficiency with hyperphenylalaninemia
- Synonyms
- HYPERPHENYLALANINEMIA, TETRAHYDROBIOPTERIN-DEFICIENT, DUE TO GTP CYCLOHYDROLASE I DEFICIENCY; Hyperphenylalaninemia, BH4-Deficient, B; Hyperphenylalaninemia, tetrahydrobiopterin-deficient, due to GTP cyclohydrolase 1 deficiency
- Modes of inheritance
- Autosomal recessive inheritance (Orphanet)
Summary
Available tests
Check Related conditions for additional relevant tests.
Clinical tests (13 available)
Clinical features
Help- Abnormality of head or neck
- Excessive salivation
Excessive salivation
- MedGen UID: 11419
- Concept ID: C0037036
- Finding: Disease or Syndrome
Abnormality of head or neck
- Excessive salivation
- Abnormality of limbs
- Limb hypertonia
Limb hypertonia
- MedGen UID: 333083
- Concept ID: C1838391
- Finding: Finding
Abnormality of limbs
- Limb hypertonia
- Abnormality of metabolism/homeostasis
- Hyperphenylalaninemia
Hyperphenylalaninemia
- MedGen UID: 155558
- Concept ID: C0751435
- Finding: Disease or Syndrome
Abnormality of metabolism/homeostasis
- Recurrent fever
Recurrent fever
- MedGen UID: 811468
- Concept ID: C3714772
- Finding: Sign or Symptom
Abnormality of metabolism/homeostasis
- Hyperphenylalaninemia
- Abnormality of the digestive system
- Dysphagia
Dysphagia
- MedGen UID: 41440
- Concept ID: C0011168
- Finding: Disease or Syndrome
Abnormality of the digestive system
- Feeding difficulties
Feeding difficulties
- MedGen UID: 65429
- Concept ID: C0232466
- Finding: Finding
Abnormality of the digestive system
- Poor suck
Poor suck
- MedGen UID: 324693
- Concept ID: C1837142
- Finding: Finding
Abnormality of the digestive system
- Dysphagia
- Abnormality of the eye
- Abnormality of eye movement
Abnormality of eye movement
- MedGen UID: 99227
- Concept ID: C0497202
- Finding: Finding
Abnormality of the eye
- Abnormality of eye movement
- Abnormality of the genitourinary system
- Decreased urinary biopterin level
Decreased urinary biopterin level
- MedGen UID: 1054812
- Concept ID: CN376438
- Finding: Finding
Abnormality of the genitourinary system
- Decreased urinary neopterin level
Decreased urinary neopterin level
- MedGen UID: 1054290
- Concept ID: CN376441
- Finding: Finding
Abnormality of the genitourinary system
- Elevated urinary sulfatide level
Elevated urinary sulfatide level
- MedGen UID: 1053367
- Concept ID: CN376629
- Finding: Finding
Abnormality of the genitourinary system
- Decreased urinary biopterin level
- Abnormality of the musculoskeletal system
- Generalized hypotonia
Generalized hypotonia
- MedGen UID: 346841
- Concept ID: C1858120
- Finding: Finding
Abnormality of the musculoskeletal system
- Hypotonia
Hypotonia
- MedGen UID: 10133
- Concept ID: C0026827
- Finding: Finding
Abnormality of the musculoskeletal system
- Rigidity
Rigidity
- MedGen UID: 7752
- Concept ID: C0026837
- Finding: Sign or Symptom
Abnormality of the musculoskeletal system
- Severe muscular hypotonia
Severe muscular hypotonia
- MedGen UID: 326544
- Concept ID: C1839630
- Finding: Finding
Abnormality of the musculoskeletal system
- Generalized hypotonia
- Abnormality of the nervous system
- Choreoathetosis
Choreoathetosis
- MedGen UID: 39313
- Concept ID: C0085583
- Finding: Disease or Syndrome
Abnormality of the nervous system
- Dystonic disorder
Dystonic disorder
- MedGen UID: 3940
- Concept ID: C0013421
- Finding: Sign or Symptom
Abnormality of the nervous system
- Global developmental delay
Global developmental delay
- MedGen UID: 107838
- Concept ID: C0557874
- Finding: Finding
Abnormality of the nervous system
- Hyperkinetic movements
Hyperkinetic movements
- MedGen UID: 854367
- Concept ID: C3887506
- Finding: Disease or Syndrome
Abnormality of the nervous system
- Increased CSF phenylalanine concentration
Increased CSF phenylalanine concentration
- MedGen UID: 1692227
- Concept ID: C5139608
- Finding: Finding
Abnormality of the nervous system
- Intellectual disability, progressive
Intellectual disability, progressive
- MedGen UID: 337397
- Concept ID: C1846149
- Finding: Mental or Behavioral Dysfunction
Abnormality of the nervous system
- Irritability
Irritability
- MedGen UID: 397841
- Concept ID: C2700617
- Finding: Mental Process
Abnormality of the nervous system
- Lethargy
Lethargy
- MedGen UID: 7310
- Concept ID: C0023380
- Finding: Sign or Symptom
Abnormality of the nervous system
- Progressive neurologic deterioration
Progressive neurologic deterioration
- MedGen UID: 381506
- Concept ID: C1854838
- Finding: Finding
Abnormality of the nervous system
- Seizure
Seizure
- MedGen UID: 20693
- Concept ID: C0036572
- Finding: Sign or Symptom
Abnormality of the nervous system
- Tremor
Tremor
- MedGen UID: 21635
- Concept ID: C0040822
- Finding: Sign or Symptom
Abnormality of the nervous system
- Choreoathetosis
- ACMG ACT, 2022American College of Medical Genetics and Genomics, Newborn Screening ACT Sheet, Elevated Phenylalanine, Phenylalanine hydroxylase deficiency (PAH), 2022
- ACMG Algorithm, 2022American College of Medical Genetics and Genomics, Algorithm, PAH deficiency: Elevated Phenylalanine, 2022
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