Ureagenesis disorders

Etiopathogenesis

Hereditary metabolic disorders of ureagenesis arise from a defect in ureagenetic enzymes.

Clinical picture

The disease manifests itself mostly soon after birth or in infancy. The main laboratory symptom is hyperamonemia.

In the clinical picture there is vomiting, refusal of food with proteins, intermittent ataxiea, increased irritability, lethargy, mentál retardation.

Includes:

  • Hyperamonemia type I (carbamoyl phosphate synthetase deficiency);
  • Hyperamonemia type II (deficiency of ornithinetranscarbamoylase) – increase in glutamine in the blood, urine, fluid;
  • Citrullinemia ((deficiency of argininosuccinate synthetase) – a large amount of citrulline in the urine – 1 to 2 g/day;
  • Argininosuccinate aciduria (argininosuccinase defect);
  • Hyperargininemia (arginase defect).


Template:Patobiochemie metabolických drah (Masopust)

Source


Kategorie:Patobiochemie Kategorie:Pediatrie