Rare diseases · Sign or symptom

4-hydroxyphenylacetic aciduria

HP:0003607

What it means

Increased concentration of 4-hydroxyphenylacetic acid in the urine.

4-Hydroxyphenylpyruvate dioxygenase participates in the tyrosine catabolic pathway by catalyzing the conversion of 4-hydroxyphenylpyruvate to homogentisate. A deficiency in this enzyme can result in 4-Hydroxyphenylacetic aciduria.

Rare diseases that can present with this2

Very common80–99%

1

Common30–79%

1

The range is how often this sign appears among people diagnosed with each disease — it is not a probability of having any of them. Many of these signs also occur in common, non-rare conditions. A sign on this page is a conversation to have with a clinician, not a conclusion.

Part of the broader category

Also called: Elevated urine 4-hydroxyphenylacetic acid level

4-hydroxyphenylacetic aciduria

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This page uses the Human Phenotype Ontology (2026-06-23) — Human Phenotype Ontology Consortium, hpo.jax.org. Disease associations from Orphanet (INSERM), CC BY 4.0. Content is educational and is not medical advice.