Prompt Title: Homocystinuria and Alkaptonuria

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  1. What is homocystinuria?
  • Homocystinuria is a genetic disorder that is caused by defects in the metabolism of homocysteine, characterized by the accumulation of homocysteine and methionine in plasma and urine.
  1. What enzyme is deficient in homocystinuria?
  • Homocystinuria is caused by deficiency of the enzyme cystathione p-synthase, which normally converts homocysteine to cystathione.
  1. How is homocystinuria inherited?
  • Homocystinuria is inherited as an autosomal recessive disease.
  1. What are the symptoms of homocystinuria?
  • The symptoms of homocystinuria include ectopia lentis, osteoporosis, mental retardation, skeletal abnormalities, and deep vein thrombosis.
  1. How is homocystinuria treated?
  • Treatment for homocystinuria involves restriction of methionine intake and supplementation with vitamins B6, B12, and folate.
  1. What is alkaptonuria?
  • Alkaptonuria is a rare metabolic disease caused by a deficiency of homogentisic acid oxidase, resulting in the accumulation of homogentisic acid in blood and urine.
  1. What are the three main features of alkaptonuria?
  • The three main features of alkaptonuria are homogentisic aciduria, large joint arthritis, and ochronosis.
  1. What is homogentisic aciduria?
  • Homogentisic aciduria is the presence of elevated levels of homogentisic acid in a patient's urine.
  1. What causes dark pigmentation of the cartilage and collagenous tissue in alkaptonuria?
  • The accumulation of homogentisic acid causes pigmentation of the cartilage and collagenous tissue in alkaptonuria.
  1. How is alkaptonuria diagnosed in infants?
  • Alkaptonuria can be diagnosed in infants through the dark staining of diapers after urinating.
  1. When do symptoms of alkaptonuria typically occur?
  • Symptoms of alkaptonuria typically do not occur until around 40 years of age.
  1. What type of diet can help reduce levels of homogentisic acid in alkaptonuria?
  • Diets low in protein, especially in phenylalanine and tyrosine, can help reduce levels of homogentisic acid in alkaptonuria.
  1. Can alkaptonuria be cured?
  • There is no known cure for alkaptonuria.
  1. How is alkaptonuria treated?
  • Treatment for alkaptonuria involves managing symptoms and preventing complications through regular monitoring and lifestyle modifications.
  1. What is the cause of alkaptonuria?
  • Alkaptonuria is caused by a deficiency of the enzyme homogentisic acid oxidase.
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