Phenylketonuria and Your Skin

Phenylketonuria and Your Skin
0
(0)

Phenylketonuria (PKU) is a rare genetic disease that affects the conversion of the amino acid phenylalanine (Phe) into the amino acid tyrosine (Tyr). (Amino acids are building blocks of proteins.)

Among its symptoms, people with PKU often experience skin problems such as rashes and sensitivity to light.

How does PKU affect the skin?

Mutations in the PAH gene cause PKU. This gene contains instructions for cells to make the enzyme phenylalanine hydroxylase (PH). PH converts phenylalanine into Tyr. When there isn’t enough of the enzyme or if it doesn’t function properly, Phe levels begin to build up in the body.

The high levels of Phe and lower levels of tyrosine affect the skin and nervous system, leading to the disease’s symptoms. These include fair skin, and hair and eye colors due to a reduction in melanin production. (Tyr is a precursor of melanin.) Increased levels of Phe and the products of its breakdown can also cause photosensitivity, eczema, and a musty smell to the skin and body. Researchers have also reported scleroderma-like skin lesions in patients with PKU.

Skin therapy options

Diet

As with many of the symptoms of PKU, dietary restriction of Phe can help improve skin issues. Removing phenylalanine from the diet and supplementing it with extra tyrosine can result in skin and hair darkening. It can also help reduce the occurrence of eczema. Reintroducing Phe into the diet can reverse these skin improvements, and lead to the reappearance of symptoms.

Eczema treatment

Eczema, or atopic dermatitis, can manifest in several forms, including dry, itchy, and cracked skin, and reddish-brown patches. Several treatments are available to help relieve eczema, including medications, treatment with narrow bands of artificial ultraviolet light, wet dressings, corticosteroid creams, and relaxation or counseling services to deal with the desire to scratch.

Medication

Two treatments for PKU are approved by the U.S. Food and Drug Administration. Kuvan (sapropterin dihydrochloride), which helps to stimulate the conversion of Phe to Tyr via residual PH enzymes the body is able to make, was approved in 2007. Palynziq (pegvaliase-pqpz), approved in 2018, helps to lower blood levels of Phe. These treatments may also reduce the skin symptoms that PKU causes.

 

Last updated: Sept. 17, 2020

***

Phenylketonuria News is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Brian holds a Ph.D. in Biomedical Engineering from Case Western Reserve University and a Bachelors of Science in Biomedical Engineering from Georgia Institute of Technology. He has co-authored numerous scientific articles based on his previous research in the field of brain-computer interfaces and functional electrical stimulation. He is also passionate about making scientific advances easily accessible to the public.
Total Posts: 0
Özge has a MSc. in Molecular Genetics from the University of Leicester and a PhD in Developmental Biology from Queen Mary University of London. She worked as a Post-doctoral Research Associate at the University of Leicester for six years in the field of Behavioural Neurology before moving into science communication. She worked as the Research Communication Officer at a London based charity for almost two years.
×
Brian holds a Ph.D. in Biomedical Engineering from Case Western Reserve University and a Bachelors of Science in Biomedical Engineering from Georgia Institute of Technology. He has co-authored numerous scientific articles based on his previous research in the field of brain-computer interfaces and functional electrical stimulation. He is also passionate about making scientific advances easily accessible to the public.
Latest Posts
  • behavioral problems in children
  • epilepsy and PKU
  • eyes
  • skin problems

How useful was this post?

Click on a star to rate it!

Average rating 0 / 5. Vote count: 0

No votes so far! Be the first to rate this post.

As you found this post useful...

Follow us on social media!

We are sorry that this post was not useful for you!

Let us improve this post!

Tell us how we can improve this post?