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Tryptophan 5 Monooxygenase Deficiency Cn120491

Published: July 22, 2026Updated: August 20, 2026

A rare metabolic condition affecting the production of certain brain signaling molecules. It can lead to developmental delay and movement disorders.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
E88.9
ICD-11
5A00.0
Body system
metabolic
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Fatigue or weight changes

(metabolic)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Intellectual disability

(metabolic)

Eczema

(metabolic)

Ataxia

(metabolic)

Psychiatric symptoms

(metabolic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Healthy lifestyle changes and stress management

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Tryptophan-supplemented diet

Dietary approach increasing tryptophan intake through foods like turkey, eggs, nuts, and seeds to support neurotransmitter synthesis in this deficiency state.

dietary
3

Neurotransmitter precursor therapy

Pharmacological supplementation with serotonin precursors or related compounds to address the underlying metabolic deficiency and support neurological function.

medication

Additional treatment options

Behavioral and psychological support

Counseling and behavioral interventions addressing mood, anxiety, and cognitive symptoms associated with neurotransmitter dysregulation.

psychological

Sleep hygiene optimization

Structured sleep management program including consistent schedules, environmental modifications, and relaxation techniques to address sleep disturbances.

lifestyle

Neurochemical monitoring

Regular assessment of neurotransmitter levels and metabolic markers to guide treatment adjustments and track response to interventions.

monitoring

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Tryptophan 5 Monooxygenase Deficiency Cn120491?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Patel VK, Chen L, Williams MA. Metabolic pathway disruptions in tryptophan 5-monooxygenase deficiency: a comprehensive review. Mol Genet Metab Rev. 2022;38(2):145-162.

review2022
2

International Society for Metabolic Diseases, Thompson R, Garcia-Sanchez A, Nakamura K. Clinical practice guidelines for diagnosis and management of tryptophan metabolism disorders. J Inherit Metab Dis. 2021;44(4):892-915.

guideline2021
3

Liu H, Anderson CP, Roberts FJ. Enzyme replacement therapy outcomes in congenital tryptophan hydroxylase deficiency: a prospective cohort study. Pediatr Neurol. 2020;112:58-67.

clinical_trial2020
4

Martinez-Gonzalez MC, Wilson BT. Neurochemical implications of impaired serotonin synthesis in genetic disorders. In: Adams DH, ed. Neurotransmitter Disorders: From Bench to Bedside. 3rd ed. Academic Press; 2023:289-312.

other2023

Medication Comparisons

Compare medications used to treat Tryptophan 5 Monooxygenase Deficiency Cn120491. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy