This document discusses several inborn errors of metabolism including phenylketonuria (PKU), alkaptonuria, tyrosinosis, and albinism. PKU results from a defect in the enzyme phenylalanine hydroxylase, which converts the essential amino acid phenylalanine to tyrosine in the liver. This causes phenylalanine to accumulate and be excreted as the keto acid phenylpyruvate, giving PKU its name. Alkaptonuria is due to the inability to break down tyrosine and phenylalanine, causing homogentisic acid to accumulate and deposit in connective tissues, giving them a dark color. Tyrosinosis involves a