Homocysteinuria

  • autosomal recessive
  • similar habitus to Marfan’s
    • Tall
    • Flared distal femur
    • Tibial bowing
    • Enlarged carpal bones
    • osteoporosis
    • Scoliosis
    • Arachnodactyly
    • Lens dislocates down (opposite to Marfan’s)
    • Increase in blood methionine
    • Cyanide nitroprusside test picks up homocysteinuria
    • Thrombosis of veins & arteries

Treatment

  • Methionine restriction