» Articles » PMID: 26130895

Nonhepatic Hyperammonemic Encephalopathy Due to Undiagnosed Urea Cycle Disorder

Overview
Specialty General Medicine
Date 2015 Jul 2
PMID 26130895
Citations 3
Authors
Affiliations
Soon will be listed here.
Abstract

Ornithine transcarbamoylase deficiency is the most common inherited urea cycle disorder. In adults, its phenotypes are diverse. In asymptomatic patients with late presentations, symptom onset is often associated with a precipitating factor. We present a case of a woman with urea cycle disorder diagnosed after an acute peptic ulcer bleed and fasting.

Citing Articles

Delayed Cerebral Abnormalities in Acute Hyperammonemic Encephalopathy.

Ito H, Ogawa Y, Shimojo N, Kawano S Cureus. 2020; 12(9):e10306.

PMID: 33052269 PMC: 7544550. DOI: 10.7759/cureus.10306.


Ammonia and coma - a case report of late onset hemizygous ornithine carbamyltransferase deficiency in 68-year-old female.

Marquetand J, Freisinger P, Lindig T, Euler S, Gasser M, Overkamp D BMC Neurol. 2020; 20(1):118.

PMID: 32252669 PMC: 7132961. DOI: 10.1186/s12883-020-01700-9.


Hyperammonemia: What Urea-lly Need to Know: Case Report of Severe Noncirrhotic Hyperammonemic Encephalopathy and Review of the Literature.

Upadhyay R, Bleck T, Busl K Case Rep Med. 2016; 2016:8512721.

PMID: 27738433 PMC: 5050374. DOI: 10.1155/2016/8512721.

References
1.
Tuchman M, Morizono H, Rajagopal B, Plante R, Allewell N . The biochemical and molecular spectrum of ornithine transcarbamylase deficiency. J Inherit Metab Dis. 1998; 21 Suppl 1:40-58. DOI: 10.1023/a:1005353407220. View

2.
Tuchman M, McCullough B, Yudkoff M . The molecular basis of ornithine transcarbamylase deficiency. Eur J Pediatr. 2001; 159 Suppl 3:S196-8. DOI: 10.1007/pl00014402. View

3.
Summar M, Barr F, Dawling S, Smith W, Lee B, Singh R . Unmasked adult-onset urea cycle disorders in the critical care setting. Crit Care Clin. 2005; 21(4 Suppl):S1-8. DOI: 10.1016/j.ccc.2005.05.002. View

4.
McCullough B, Yudkoff M, Batshaw M, Wilson J, Raper S, Tuchman M . Genotype spectrum of ornithine transcarbamylase deficiency: correlation with the clinical and biochemical phenotype. Am J Med Genet. 2000; 93(4):313-9. DOI: 10.1002/1096-8628(20000814)93:4<313::aid-ajmg11>3.0.co;2-m. View

5.
Enns G, Berry S, Berry G, Rhead W, Brusilow S, Hamosh A . Survival after treatment with phenylacetate and benzoate for urea-cycle disorders. N Engl J Med. 2007; 356(22):2282-92. DOI: 10.1056/NEJMoa066596. View