TY - CHAP M1 - Book, Section TI - Chapter 135. Hyperphenylal-Aninemias A1 - Schwahn, Bernd Christian A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. Y1 - 2011 N1 - T2 - Rudolph's Pediatrics, 22e AB - Hyperphenylalaninemias are an important group of metabolic disorders that present mainly as chronic encephalopathy. Severe hyperphenylalaninemia leading to phenylketonuria (PKU) has a very distinct role in the field of inherited metabolic disorders: PKU is the first genetic disease that could be treated exclusively by dietary manipulation and that could be entirely prevented by universal newborn screening and presymptomatic dietary intervention. This has had a huge impact on pediatric medicine, on the evolution of neonatal mass screening, and on the concept of gene-environment interaction. Genetic defects associated with hyperphenylalaninemia can now be regarded as a strong risk factor for neurodisability, but their outcome is more determined by the degree of metabolic control than by genetic variability. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=6724537 ER -