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Giacomo Biasucci pdf - Sipps

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Abdominal US scan: diffuse liver lesions and cortical renal<br />

thickening.<br />

Diagnosis: high plasma and urinary levels of tyrosine (2075<br />

μmol/l) and succinylacetoacetone. Molecular assay: compound<br />

heterozygote for two missense mutations:<br />

47A>T(N161) in exon 1 (pathogenic) and<br />

974C>A in exon 12 (probably pathogenic, although novel).<br />

Therapy:<br />

low phe and tyr diet, calcium, Vit. D3 and NTBC (1<br />

mg/kg/day) with rapid regression of main clinical and<br />

radiological signs and symptoms. Normal parameters within<br />

the first year of therapy.

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