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[Adult phenylketonuria]
Csaba Sumánszki1, András Gellért Barta1, Péter Reismann1
1II. Belgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Szentkirályi u. 46., 1084.
Insights
Phenylketonuria (PKU) management has evolved, enabling affected individuals to lead full lives. This review focuses on adult PKU care, new guidelines, and emerging therapies.
Area of Science:
- Metabolic Diseases
- Genetics
- Public Health
Background:
- Phenylketonuria (PKU) has been part of Hungary's newborn screening since 1975.
- Early diagnosis and dietary management allow individuals with PKU to reach adulthood with improved health outcomes.
- PKU is transitioning from a pediatric to an adult metabolic disease requiring specialized care.
Purpose of the Study:
- To review recent advancements in phenylketonuria (PKU) research and treatment.
- To focus on the specific challenges and care requirements for adult patients with PKU.
- To highlight new international guidelines and therapies for PKU management.
Main Methods:
- Literature review of recent findings in phenylketonuria (PKU).
- Analysis of current international guidelines and emerging therapeutic strategies.
- Discussion of long-term outcomes and challenges in adult PKU care.
Main Results:
- Early intervention in PKU significantly improves long-term quality of life.
- Adult PKU care is increasingly managed in specialized internal medicine centers.
- New therapies and guidelines are emerging, necessitating their integration into clinical practice.
Conclusions:
- Phenylketonuria (PKU) management has advanced, allowing affected individuals to lead normal lives.
- Ongoing research and updated guidelines are crucial for optimizing adult PKU care.
- Future challenges include managing maternal PKU, long-term dietary effects, and sequelae of untreated PKU.
Abstract:
Starting from 1975 phenylketonuria is part of the newborn screening program in Hungary. Since then a generation, treated with special diet and medical foods right after neonatal diagnosis has reached adulthood. Thanks to early treatment initiation, children with phenylketonuria are able to lead life to the full. Consequently, phenylketonuria is no longer considered a pediatric disease. Follow up of adult patients with phenylketonuria is performed in internal medicine centers specialized in metabolic diseases. The outcome of the lifelong special treatment, and the particularities of phenylketonuria in adulthood are yet to be determined. The aim of our review is to present recent findings in phenylketonuria focusing mainly on the adult care. After long time the first international guidelines appeared, new therapies were put in use, and these current developments are expected to be implemented in daily practice in the near future. New challenges must be met such as maternal phenylketonuria, long term effects of dietotherapy and the sequelae of untreated phenylketonuria in adulthood. Orv Hetil. 2017; 158(46): 1857-1863.
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