Incidence of Neonatal Hyperphenylalaninemia Based on High‑performance Liquid Chromatography Confrmatory Technique in Mazandaran Province, Northern Iran (2007–2015)

Abstract

Background: Classic phenylketonuria (PKU) is a metabolic disorder. The purpose of this study was to assess epidemiological factors of PKU phenotypes in a neonatal screening program for Mazandaran, Iran.

Methods: In this descriptive‑retrospective study from 2007 to 2015, neonates PKU level was conducted by phenylalanine level based on a biochemical technique by ELISA and then by confrmatory methods high performance liquid chromatography.

Results: Of the 407,244 screened newborns (48.7% girls and 51.3% boys), 14 girls and 13 boys were diagnosed defnitely from 465 suspicious cases of PKU. The incidence of PKU was 0.66 in 10,000, which was noted in
different severity (severe PKU ‑ 1:67,874, mild PKU ‑ 1:45,249, and HPA ‑ 1:33,937). In addition, we did not detect any cases of nonclassic PKU.

Conclusions: Although the consanguineous marriage pattern is a major cause of hyperphenylalaninemia (HPA) particularly in Iranian, there was no
signifcant difference between groups in this study. Now, screening should be executed for all of the family that they have the familial history of PKU in Iran. According to varies actual of prevalence and incidence rate of PKU reported a real patient and taking PKU with mild PKU and HPA, it is recommended, the will provide the PKU reports based on the severity of the disease.

Keywords: Chromatography high‑pressure liquid, Iran, neonatal screening, phenylketonurias