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Inborn errors of metabolism

Hereditary fructose intolerance (HFI)

An inherited problem with using sugar. The body cannot process fructose, the sugar found in fruit. Foods containing fructose cause vomiting and low blood sugar.

Not part of the panel of Türkiye's National Newborn Screening Programme (heel-prick test). Source

Orphanet has a guideline for emergency doctors for this disease (language: French, English). See on Orphanet

Prepare an emergency card

This page is translated from the Turkish original.

This disease is followed through the “Inborn errors of metabolism” group.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

Fructose is a sugar found in fruit and in table sugar. The liver breaks it down with an enzyme called aldolase B. In this disease, the enzyme does not work well enough. When fructose is eaten, a harmful substance builds up in the liver. Blood sugar also drops.

Which symptoms can occur?

Symptoms usually appear when a baby starts having fruit, fruit juice or sweetened foods.

  • Nausea, vomiting and belly pain
  • Bloating and diarrhea
  • Low blood sugar
  • Poor weight gain in a baby
  • Jaundice and a large liver
  • Dislike of sweets and fruit (common)

How is it diagnosed?

The doctor looks at the symptoms and the eating history. Today, the diagnosis is usually made with a genetic test on a blood sample. The loading tests used in the past are risky.

Treatment and care

The main treatment is a diet that avoids fructose. This diet is planned with a dietitian. If the diagnosis is made early and the diet is followed, people can lead a normal life. Early diagnosis helps prevent liver and kidney damage. The doctor does regular check-ups. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

The disease is passed on through recessive inheritance. The mother and father are usually healthy carriers. For a couple who are both carriers, the chance of having an affected child is 1 in 4 in each pregnancy. In marriages between relatives, the chance of carrying the same gene is higher. Genetic counselling is recommended for the family.

Source: MedlinePlus Genetics: Hereditary fructose intolerance · NORD: Fructose Intolerance, Hereditary · Orphanet: Hereditary fructose intolerance (ORPHA:469)

Key facts

How common is it?
Prevalence: 1-9 per 100 000 (Europe)
How is it inherited?
Autosomal recessive
When does it usually start?
Any age
Gene(s) involved
ALDOB

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

We could not find a patient association specific to this disease.

For all rare diseases: Nadir Hastalıklar Federasyonu

Guides related to this disease

  • Special diets and medical nutrition · Metabolic diet, blood monitoring, medical formula and SGK report, sick-day plan, tube feeding and swallowing problems, school meals, supplement warning

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about Fructose intolerance

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

ClinicalTrials.gov currently lists no active interventional studies for this disease. Last checked: October 7, 2026.

See all studies on ClinicalTrials.gov · Joining clinical trials

Inborn errors of metabolism: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:469 · ICD-11 5C51.50

Codes checked against WHO ICD-11 and Orphanet on October 7, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.