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Aminoacidurias (genetic)
Last Updated: Monday, 21 January 2008

Appropriate Tests

Clinical presentation varies with the specific disorder.

Overproduction 

Amino acid levels are increased in plasma and urine, however measurement of fasting plasma amino acids is preferable for diagnosis and is required for monitoring treatment.

ManifestationPhenylketonuria 

Phenylalanine.

ManifestationHomocystinuria

Homocystine; organic acids - urine.

ManifestationMaple syrup urine disease 

Leucine, isoleucine, valine; organic acids - urine.

ManifestationTyrosinaemia type I 

Organic acids - urine incl succinylacetone; tyrosine - urine.

ManifestationNon-ketotic hyperglycinaemia 

Glycine. CSF glycine is the definitive test.

 

ManifestationCitrullinaemia 

Citrulline; ammonium.

ManifestationHypophosphatasia 

Ethanolamine phosphate, ALP.

Leakage

Amino acids - urine levels are increased; amino acids - plasma levels are normal or low.

ManifestationCystinuria 

Cystine, lysine, arginine, ornithine - amino acids - urine.

ManifestationLysinuric protein intolerance 

Lysine - amino acids - urine; ammonium.

ManifestationFanconi syndrome 

Amino acids - urine; phosphate - urine, glucose - urine, alpha-1-microglobulin - urine; urine acidification test.

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