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Clinical manifestations of enzyme deficiencies in tyrosine catabolism

Clinical manifestations of enzyme deficiencies in tyrosine catabolism
Defective enzyme Tyrosine aminotransferase 4-hydroxyphenylpyruvate dioxygenase Homogentisate dioxygenase Maleylacetoacetate isomerase Fumarylacetoacetate hydrolase
Disease name(s)

Tyrosinemia type II

Oculocutaneous tyrosinemia

Richner-Hanhardt syndrome
Tyrosinemia type III Alkaptonuria No human patients described

Tyrosinemia type I

Hepatorenal tyrosinemia
Elevated blood tyrosine +++ ++ ? ++
Corneal ulcers +++ +/– ?
Hyperkeratosis ++ +/– ?
Intellectual disability +/– +/– ?
Arthritis +++ ?
Liver failure ? +++
Renal Fanconi syndrome ? ++
Courtesy of Markus Grompe, MD.
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