Histidinemia

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Histidinemia
Other namesHistidinuria
Histidine
SpecialtyEndocrinology Edit this on Wikidata

Histidinemia is a rare

benign disorder,[2] leading to a reduction in the prevalence of neonatal screening procedures.[3]

Presentation

Histidinemia is considered

Molecular mechanism

Histidinemia has an autosomal recessive pattern of inheritance.

Histidinemia occurs as the result of an

missense mutations, two exonic polymorphisms and two intronic polymorphisms.[5]

Diagnosis

Histidenemia is characterized by increased levels of histidine,

skin cells.[1] In Japan, neonatal screening was previously performed on infants within one month of birth; infants demonstrating a blood histidine level of 6 mg/dl or more underwent careful testing as suspected histidinemia cases.[6] A typical characteristic of histidinemia is an increase in the blood histidine levels from normal levels (70–120 μM) to an elevated level (290–1420 μM).[3] Further testing includes: observing histidine as well as imidazolepyruvic acid metabolites in the urine. However, neonatal urine testing has been discontinued in most places, with the exception of Quebec.[3]

Treatment

It has been suggested that a possible method of treatment for histidinemia is through the adoption of a diet that is low in histidine intake. However, the requirement for such dietary restrictions is typically unnecessary for 99% of all cases of histidinemia.[3]

Prevalence

Histidinemia is a rare autosomal recessive disorder. However, histidinemia is considered the most prevalent

inborn error of metabolism[3][5] with a reported incidence of 1:8600 (Quebec); 1:180,000 (New York) and 1:9600 (Japan); and an average of 1:12,000 observed in the neonatal screening of over 20 million newborns.[3]

See also

References

  1. ^
    PMID 1943682
    .
  2. ^ .
  3. ^ a b c d e f g Levy H (2004). "Histidinemia" (PDF). Orphanet. Archived from the original (PDF) on 2022-06-09. Retrieved 2013-11-30.
  4. PMID 8530107
    .
  5. ^ .
  6. .

External links