Hereditary Fructose Intolerance (HFI) is a rare genetic disorder that affects the body's ability to break down fructose, a type of sugar found in many fruits and sweeteners. It is caused by a deficiency of the enzyme aldolase B, which is responsible for metabolizing fructose in the liver.
Diagnosing HFI
Diagnosing HFI typically involves a combination of clinical evaluation, medical history assessment, and laboratory tests. Here are the key steps involved in diagnosing this condition:
- Medical history: The doctor will review the patient's medical history, paying close attention to symptoms such as abdominal pain, bloating, vomiting, and hypoglycemia (low blood sugar levels) that occur after consuming fructose or fructose-containing foods.
- Physical examination: A thorough physical examination may be conducted to check for signs of liver or gastrointestinal abnormalities.
- Dietary assessment: The doctor may ask the patient to keep a detailed food diary to identify any patterns between fructose consumption and symptom onset.
- Elimination diet: To confirm the diagnosis, an elimination diet may be recommended. This involves removing all sources of fructose from the diet for a period of time to observe if symptoms improve.
- Fructose challenge test: In some cases, a controlled fructose challenge test may be performed under medical supervision. This involves administering a specific amount of fructose and monitoring the patient for symptoms and changes in blood sugar levels.
- Genetic testing: Genetic testing can definitively confirm the diagnosis of HFI by identifying mutations in the ALDOB gene, which is responsible for producing the aldolase B enzyme.
Conclusion
Diagnosing Hereditary Fructose Intolerance involves a comprehensive evaluation of medical history, physical examination, dietary assessment, and potentially genetic testing. It is important to consult with a healthcare professional for an accurate diagnosis and appropriate management of this rare genetic disorder.