KROK 1 2011 – Question 29 · KROK (Medicine) · Biological Chemistry

Urine analysis of a 12-year-old boy reveals high concentration of all aliphatic amino acids with the highest excretion of cystine and cysteine. US of kidneys revealed kidney concrements. What is the most likely pathology?

  1. A. Cystinuria
  2. B. Alkaptonuria
  3. C. Phenylketonuria
  4. D. Cystitis
  5. E. Hartnup disease
Hint

Notice that a whole group of amino acids is lost together, and ask whether this fits one enzyme block or a shared renal handling problem, and which of them can form stones.

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