We have examined the molecular basis of Segawa's syndrome in six famil
ies with seven affected children. In one family two siblings with this
disease carried a point mutation in exon 11 of the tyrosine hydroxyla
se gene, resulting in an amino acid exchange of Gln(381) to Lys(381).
These results suggest that a change in tyrosine hydroxylase causes thi
s form of Segawa's syndrome.