Homocystinuria: differential diagnosis

Evidence-based neurology checklist on homocystinuria: differential diagnosis: Other causes of hyperhomocysteinaemia Vitamin B12 deficiency Folate deficiency Renal failure Nitrous oxide Methotrexate (MTX) Methylene tetrahydrofolate reductase deficiency (MTHFR) deficiency Methionine…

Other causes of hyperhomocysteinaemia

  • Vitamin B12 deficiency
  • Folate deficiency
  • Renal failure
  • Nitrous oxide
  • Methotrexate (MTX)
  • Methylene tetrahydrofolate reductase deficiency (MTHFR) deficiency
  • Methionine adenosyltransferase I/III deficiency

Differential diagnosis of ectopic lens

References

  1. Morris AA, Kožich V, Santra S, et al. Guidelines for the diagnosis and management of cystathionine beta-synthase deficiency. J Inherit Metab Dis 2017; 40:49-74. 
  2. Woods E, Dawson C, Senthil L, Geberhiwot T. Cerebral venous thrombosis as the first presentation of classical homocystinuria in an adult patient. BMJ Case Rep 2017; pii: bcr2016217477. 
  3. Couser NL, McClure J, Evans MW, Haines NR, Burden SK, Muenzer J. Homocysteinemia due to MTHFR deficiency in a young adult presenting with bilateral lens subluxations. Ophthalmic Genet 2017; 38:91-94. 
  4. Stabler SP, Steegborn C, Wahl MC, et al. Elevated plasma total homocysteine in severe methionine adenosyltransferase I/III deficiency. Metabolism 2002; 51:981-988.

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