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Living with Dihydropyrimidinase deficiency

An inherited condition that can cause brain and digestive problems in some people, while others have no symptoms.

Understanding Dihydropyrimidinase deficiency

Dihydropyrimidinase deficiency is an inherited condition that causes neurological and digestive problems in some people.

Other people have no symptoms and are found only by lab testing. Common neurological problems are intellectual disability, seizures, and low muscle tone. Some people have a small head or autistic behaviors. Digestive problems include acid reflux and repeated vomiting. GARD lists onset in infancy and childhood.

Signs & symptoms

Symptoms vary, and some people have none. GARD lists these as the most common:

  • Intellectual disability
  • Seizures

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Consider genetic testing

    Changes in DPYS are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing of the DPYS gene confirm the diagnosis?
What do we do about vomiting episodes or reflux?
Are other family members likely to have the same lab finding?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesDPYS

Changes in the DPYS gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: dihydropyrimidinuria; dihydrouracil amidohydrolase deficiency; dph deficiency; dpys deficiency; dpysd

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Dihydropyrimidinase deficiencyGARD ID 12347 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Dihydropyrimidinase deficiency.

Explore the Dihydropyrimidinase deficiency blog

Explore research for Dihydropyrimidinase deficiency

Explore actively recruiting Dihydropyrimidinase deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Dihydropyrimidinase deficiency with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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