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Phenylketonuria

Phenylketonuria

Dr. Syeda Aafia
Written By Dr. Syeda AafiaMBA, BDS
Reviewed By Dr. Rajeev Sharma
MBA, MBBS
Last updated on: 19 Jan 2026 | 07:24 PM (IST)
Also known as Classical phenylketonuria, Hyperphenylalanemia, Severe phenylalanine hydroxylase (PAH) deficiency, Phenylalaninemia and PKU
Overview

Phenylketonuria (PKU) is a rare inherited metabolic disorder. In this condition, the body is unable to break down phenylalanine, an amino acid found in many protein-rich foods. This happens due to a lack of the enzyme phenylalanine hydroxylase (PAH). If phenylalanine builds up in the blood and brain, it can cause serious neurological damage.

PKU is usually detected through newborn screening. This allows treatment to start early. Without proper management, high phenylalanine levels can cause intellectual disability, seizures, behavioural problems, and developmental delays.

Some people with PKU may need medications in addition to a low-phenylalanine diet. The cornerstone of treatment is a lifelong low-phenylalanine diet, supported by special medical foods (SMFs) that provide essential nutrients without phenylalanine.

When PKU is diagnosed early and managed consistently, children can grow well, learn normally, and lead healthy, active lives.

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Overview
Key Facts
Symptoms
Causes
Risk factors
Diagnosis
Prevention
Specialist to visit
Treatment
Home-care
Complications
Alternatives therapies
Living with
FAQs
References