Fatal clinical course of ornithine transcarbamylase deficiency in an adult heterozygous female patient

被引:9
作者
Heringlake, S
Boker, K
Manns, M
机构
[1] Department of Gastroenterology and Hepatology, Medizinische Hochschule Hannover, Hannover
关键词
ornithine transcarbamylase deficiency; hyperammonemia; genetics; continuous arteriovenous hemofiltration; liver transplantation; INBORN-ERRORS; LIVER-TRANSPLANTATION; UREA SYNTHESIS; AMINO-ACID; GENE; HYPERAMMONEMIA; METABOLISM; MUTATIONS; EXCRETION; CHILDREN;
D O I
10.1159/000201428
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Ornithine transcarbamylase (OTC) deficiency is an X-linked inherited disease and the most common inborn error in urea synthesis in humans. In adult heterozygous patients, partial OTC deficiency can be responsible for life-threatening hyperammonemic coma, with a frequency of 15%. We report the clinical course of a heterozygous female patient and discuss the therapeutic options, including hemodialysis and continuous arteriovenous hemofiltration for reduction of ammonia levels as well as liver transplantation as a definitive therapy.
引用
收藏
页码:83 / 86
页数:4
相关论文
共 28 条
[1]   ORNITHINE CARBAMOYL TRANSFERASE DEFICIENCY - FINDINGS, MODELS AND PROBLEMS [J].
BACHMANN, C .
JOURNAL OF INHERITED METABOLIC DISEASE, 1992, 15 (04) :578-591
[2]   RISK OF SERIOUS ILLNESS IN HETEROZYGOTES FOR ORNITHINE TRANSCARBAMYLASE DEFICIENCY [J].
BATSHAW, ML ;
MSALL, M ;
BEAUDET, AL ;
TROJAK, J .
JOURNAL OF PEDIATRICS, 1986, 108 (02) :236-241
[3]   TREATMENT OF INBORN-ERRORS OF UREA SYNTHESIS - ACTIVATION OF ALTERNATIVE PATHWAYS OF WASTE NITROGEN SYNTHESIS AND EXCRETION [J].
BATSHAW, ML ;
BRUSILOW, S ;
WABER, L ;
BLOM, W ;
BRUBAKK, AM ;
BURTON, BK ;
CANN, HM ;
KERR, D ;
MAMUNES, P ;
MATALON, R ;
MYERBERG, D ;
SCHAFER, IA .
NEW ENGLAND JOURNAL OF MEDICINE, 1982, 306 (23) :1387-1392
[4]   APPLICATION OF REDUCED-SIZE LIVER-TRANSPLANTS AS SPLIT GRAFTS, AUXILIARY ORTHOTOPIC GRAFTS, AND LIVING RELATED SEGMENTAL TRANSPLANTS [J].
BROELSCH, CE ;
EMOND, JC ;
WHITINGTON, PF ;
THISTLETHWAITE, JR ;
BAKER, AL ;
LICHTOR, JL .
ANNALS OF SURGERY, 1990, 212 (03) :368-377
[5]   PHENYLACETYLGLUTAMINE MAY REPLACE UREA AS A VEHICLE FOR WASTE NITROGEN-EXCRETION [J].
BRUSILOW, SW .
PEDIATRIC RESEARCH, 1991, 29 (02) :147-150
[6]   TREATMENT OF EPISODIC HYPERAMMONEMIA IN CHILDREN WITH INBORN-ERRORS OF UREA SYNTHESIS [J].
BRUSILOW, SW ;
DANNEY, M ;
WABER, LJ ;
BATSHAW, M ;
BURTON, B ;
LEVITSKY, L ;
ROTH, K ;
MCKEETHREN, C ;
WARD, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1984, 310 (25) :1630-1634
[8]   COMPARISON OF EXCHANGE-TRANSFUSION, PERITONEAL-DIALYSIS, AND HEMODIALYSIS FOR THE TREATMENT OF HYPER-AMMONEMIA IN AN ANURIC NEWBORN-INFANT [J].
DONN, SM ;
SWARTZ, RD ;
THOENE, JG .
JOURNAL OF PEDIATRICS, 1979, 95 (01) :67-70
[9]  
FUKUIZUMI H, 1990, Fukuoka Acta Medica, V81, P247
[10]   LETHAL ORNITHINE TRANSCARBAMYLASE DEFICIENCY IN A FEMALE NEONATE [J].
GIRGIS, N ;
MCGRAVEY, V ;
SHAH, BL ;
HERRIN, J ;
SHIH, VE .
JOURNAL OF INHERITED METABOLIC DISEASE, 1987, 10 (03) :274-275