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Benefits of a prolonged-release amino acid mixture in four pregnant women with phenylketonuria (Record no. 133248)

MARC details
000 -LEADER
fixed length control field 02301nam a2200157 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 251107b |||||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Simona Sestito
245 ## - TITLE STATEMENT
Title Benefits of a prolonged-release amino acid mixture in four pregnant women with phenylketonuria
300 ## - PHYSICAL DESCRIPTION
Extent pp777-787
520 ## - SUMMARY, ETC.
Summary, etc. biblio.abstract Background: Maternal phenylketonuria (mPKU) is a pathologic condition occurring in the fetus of a mother with PKU that is caused by prolonged elevated intrauterine blood phenylalanine (Phe) levels, which can lead to congenital abnormalities and mental retardation of newborns. Management of PKU during pregnancy can be challenging as protein substitutes may exacerbate nausea, vomiting, and gastrointestinal symptoms. Aim: To report the successful management of four PKU pregnant women. Methods: The patients were administered with prolonged-release amino acid supplementation and were recommended to follow a strict diet. Blood Phe concentration, adherence to diet, and occurrence of adverse events were monitored. Results: All patients achieved safe levels of blood Phe concentration (120–360 µmol/L) since preconception and during pregnancy (mean Phe concentration values of 143.34 ± 137.59, 226.48 ± 194.57, 186.68 ± 133.67, and 187.47 ± 42.59 µmol/L). During the first trimester of pregnancy, all patients manifested gastrointestinal symptoms such as nausea, gastrointestinal reflux, and abdominal bloating, which were managed by either changing protein substitute or extending the time window between different meals and amino acid mixtures administration. The four women continued their pregnancies without experiencing further complications and delivered neonates with normal growth parameters and no malformations. Conclusion: Findings of this case series suggest that the intake of a prolonged-release amino acid mixture in granules is well tolerated by pregnant PKU patients, eventually leading to good metabolic control and fetal growth within normal ranges.
654 ## - SUBJECT ADDED ENTRY--FACETED TOPICAL TERMS
Subject <a href="Maternal phenylketonuria">Maternal phenylketonuria</a>
-- <a href="PKU">PKU</a>
-- <a href="dietary control">dietary control</a>
-- <a href="metabolic control">metabolic control</a>
-- <a href="pregnancy">pregnancy</a>
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Lucia Brodosi
773 0# - HOST ITEM ENTRY
Host Biblionumber 133247
Host Itemnumber 114441
Main entry heading Andressa Silva Costa
Title Effect of cashew nut flour on hematological parameters of children living with HIV
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Location (home branch) Sublocation or collection (holding branch) Date acquired Koha issues (times borrowed) Piece designation (barcode) Koha date last seen Price effective from Koha item type
    Dewey Decimal Classification     SNDT Juhu SNDT Juhu 07/11/2025   jp963.38 07/11/2025 07/11/2025 Journal Article