Classification | Pretreatment blood phenylalanine concentration | Treatment recommended? | |
---|---|---|---|
European guidelinesa | ACMGb | ||
Classical PKU |  > 1200 µmol/L (> 20 mg/dL) | Yes | Yes |
Moderate PKU | 900–1200 µmol/L (15–20 mg/dL) | Yes | Yes |
Mild PKU | 600–900 µmol/L (10–15 mg/dL) | Yes | Yes |
Mild HPA-gray zone | 360–600 µmol/L (6–10 mg/dL) | Yes (only if < 12 years or in women before/during pregnancy) | Yesc |
PAH deficiency not requiring treatment | 120–360 µmol/L (2–6 mg/dL) | No | No |