Treatment of classical phenylketonuria.
نویسندگان
چکیده
This paper presents some observations on the dietary treatment of phenylketonuric children seen in Glasgow during the past decade. Both the efficacy of the low phenylalanine diet in preventing brain damage (Bessman, 1966), and the adequacy of diagnostic criteria when applied in early infancy (Schneider and Garrard, 1966; Stephenson and McBean, 1967a) have recently been questioned. We therefore feel that it is important to record the interim results of dietary treatment of patients in whom the diagnosis of 'true' or classical phenylketonuria has been formally established (Stephenson and McBean, 1967a). We confirm the value of this treatment but confine our presentation particularly to three topics: the effect of the age when diet is started upon the intellectual result; the effect of good and bad dietary control; and the effect of stopping the diet. These three sets of observations have direct relevance to the treatment of the phenylketonurics that are being diagnosed now, and give additional support to the phenylalanine intoxication hypothesis of Woolf (Woolf and Vulliamy, 1951).
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عنوان ژورنال:
- Archives of disease in childhood
دوره 43 227 شماره
صفحات -
تاریخ انتشار 1968