VB
Vikas Bhardwaj
Medical Technologist, AIIMS New Delhi
Updated: Apr 14, 2026
## **Core Concept**
Essential pentosuria is a rare, benign genetic disorder related to the metabolism of L-xylulose. It involves a defect in the pathway responsible for the proper utilization of certain sugars.
## **Why the Correct Answer is Right**
The correct answer, **L-xylulose reductase (also known as xylitol dehydrogenase)**, is involved in the glucuronic acid pathway (also known as the glucuronic acid-xylulose pathway). This pathway is crucial for the metabolism of certain sugars. A deficiency in L-xylulose reductase leads to the accumulation of L-xylulose in the urine, which is a hallmark of essential pentosuria.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because it does not directly relate to the known defect causing essential pentosuria.
- **Option B:** This option is incorrect as it refers to another metabolic pathway not directly associated with essential pentosuria.
- **Option C:** This option is incorrect because, although it mentions a specific enzyme, it is not the enzyme deficiency associated with essential pentosuria.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that essential pentosuria is a harmless condition and does not lead to any serious health issues. It is detected incidentally during urinalysis when L-xylulose is found in the urine. The condition highlights the importance of understanding metabolic pathways and their defects.
## **Correct Answer:** . L-xylulose reductase (xylitol dehydrogenase)
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