Etymed

homocystinuria

homo- cyst/o -in ur/o -ia

Definition

A metabolic disorder characterized by the presence of homocystine in the urine due to defective metabolism of methionine

Clinical context

A 17-year-old tall, thin male presents with visual disturbances and thromboembolic events. Physical examination reveals marfanoid habitus and dislocated lenses. Urinalysis shows elevated homocystine levels. His condition is caused by a deficiency in the enzyme cystathionine beta-synthase. His sister had similar symptoms and died of a stroke at age 25.

Mnemonic

HOMO - Homocysteine in urine, Marfanoid habitus, Ophthalmic dislocation, Mental retardation, Early thrombosis

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