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Living with Tyrosine hydroxylase deficiency

A genetic condition that mainly affects movement, from mild leg stiffness in childhood to more severe forms in infancy.

Understanding Tyrosine hydroxylase deficiency

Tyrosine hydroxylase (TH) deficiency is a disorder that mainly affects movement and comes in three forms from mild to severe.

In the mild form (dopa-responsive dystonia), symptoms start in childhood, with trouble walking and running, falls, toe walking, and muscle stiffness. They can worsen later in the day, and GARD says they almost always get better with treatment. The more severe forms start soon after birth and are harder to treat. They bring delayed motor skills, stiff muscles, slow movements, and tremors.

Signs & symptoms

GARD doesn't list a separate symptom list. The summary describes these features:

  • Trouble walking and running
  • Walking on toes from leg stiffness
  • Involuntary muscle tightening (dystonia)
  • Tremor when holding a position
  • Upward eye-rolling movements
  • Delayed motor skills in the severe forms

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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
Which form of TH deficiency do I or my child have?
Does a treatment trial help with movement symptoms?
Which specialists, such as a movement disorder neurologist, should we see?

Quick facts

GARD says the condition involves too little of the enzyme tyrosine hydroxylase. It doesn't name a gene or inheritance pattern in this record.

Also known as: autosomal recessive segawa syndrome; th deficiency; tyrosine 3-monooxygenase deficiency; tyrosine hydroxylase deficient dopa responsive dystonia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Tyrosine hydroxylase deficiencyGARD ID 26032 · 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 Tyrosine hydroxylase deficiency.

Explore the Tyrosine hydroxylase deficiency blog

Explore research for Tyrosine hydroxylase deficiency

Explore actively recruiting Tyrosine hydroxylase deficiency studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
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  • 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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