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citrullinemia |
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citrullinemia /cit·rul·lin·emia/ (sit-rul″in-e´me-ah) 1. argininosuccinate synthase deficiency. 2. excess of citrulline in the blood.
citrullinemia [-ē′mē·ə] a disorder of amino acid metabolism caused by a deficiency of the enzyme argininosuccinic acid synthetase. The clinical features include vomiting, convulsions, and coma. It is treated with a low-protein diet that provides an essential amino acid mixture, ketoacid analogs of amino acids, and arginine. citrullinemia a disease caused by a defect of urea metabolism resulting in a marked low level of citrulline. Caused by an inherited deficiency of arginosuccinate synthetase; reported in dogs and cattle. In cattle, it is characterized clinically by a sudden onset of depression, recumbency, opisthotonos and seizures in previously normal calves of up to 3 days of age. citrullinemia Metabolic disease An AR condition caused by a defect in argininosuccinate synthase, resulting in an accumulation of citrulline in serum, CSF, and urine Clinical Severe vomiting, mental retardation, and early death in most Pts;
onset may be delayed–late Sx include enuresis, delayed menarche, insomnia, sleep reversal, night sweats and terrors, diarrhea, tremors, episodic post-prandial confusion, hallucinations, coma, bizarre behavior misdiagnosed as mental disorder
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