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Updated: May 29, 2026

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Published on: August 20, 2019
A new tyrosine hydroxylase genotype associated with early-onset severe encephalopathy
Teresa Giovanniello1, Dianella Claps, Carla Carducci
1Department of Experimental Medicine, Sapienza Università di Roma, Rome, Italy.
Abstract:
We describe a boy affected by an early-onset severe encephalopathy (stagnation of psychomotor development, paroxysmal dystonic postures and movements of limbs, hypokinesia) due to tyrosine hydroxylase deficiency. High blood prolactin and low homovanillic acid in cerebrospinal fluid suggested the diagnosis. Genetic analysis revealed 3 new missense mutations on tyrosine hydroxylase gene: [c.752C>T(p.P251L) and c.887G>A(p.R296Q] harbored by the father and c.836G>T (p.C279F) of maternal origin. Bioinformatics tools have been helpful in predicting the pathogenic role of p.P251L and p.C279F substitutions, while a weak pathogenic effect was ascribed to p.R296Q.
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