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Living with Neutral 1 amino acid transport defect

A condition (Hartnup disease) in which the body can't absorb certain protein building blocks, often with no symptoms other than amino acids in the urine.

Understanding Neutral 1 amino acid transport defect

Neutral 1 amino acid transport defect, or Hartnup disease, is a condition in which the body can't absorb certain amino acids (protein building blocks) from food.

Most people can get what they need with a well-balanced diet. People have high levels of amino acids in the urine (aminoaciduria). For most, this is the only sign. Some have episodes with other signs, such as skin rashes, poor coordination, and mood or thinking changes. These episodes are usually temporary and are often triggered by illness, stress, a nutrient-poor diet, or fever. Signs most commonly occur in childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Amino acids in the urine
  • Skin rash, especially after sun exposure
  • Poor coordination (ataxia)
  • Anxiety and mood swings
  • Sensitivity to light
  • Migraine

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 brain and nervous system specialists, genetic specialists, kidney specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in SLC6A19 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
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Kidney specialists (nephrologists); Skin, hair, and nail specialists (dermatologists)
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 National Kidney Foundation and other patient organizations
  • 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
Should we have genetic testing for the SLC6A19 gene?
Which diet changes can help prevent episodes?
How can I protect my skin from the sun?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesSLC6A19

GARD lists changes in the SLC6A19 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalKidneySkinInherited Metabolic

Also known as: aminoaciduria, hartnup type; deficiency of tryptophan oxygenase; hartnup disease; hartnup disorder; hnd; neutral amino acid transport defect

Patient organizations

Source: NIH GARD · Neutral 1 amino acid transport defectGARD ID 6569 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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