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Patient case report | Main data
Patient ID 304
Diagnosis ORNITHINE TRANSCARBAMYLASE DEFICIENCY, HYPERAMMONEMIA DUE TO (MIM 311250)
Gender f
Age of symptoms onset 10 Month(s)
Age of diagnosis 15.31 Month(s)
Found in newborn screening n
Diagnosis confirmed y
Country Germany
Ethnic origin Mother: German, Father: German
History The patient was born as second child to healthy parents. Her sister, too, is healthy. The baby developed well until the age of 10 months, when phases of vomiting started. At 15 months of age, febrile infection led to metabolic decompensation with highly increased ammonia levels and liver dysfunction. Diagnosis of OTC-deficiency was made, confirmed by molecular genetics analysis, and therapy with protein-restricted diet, Na-benzoate and biocarne was initiated. In January 1997, therapy with sodium phenylbutyrate was started, since then ammonia decreased to normal levels. Psychomotoric and mental development is quite normal.IQ of 121 (07/2007).
Author Friedrich Trefz
Hospital Childrens Hospital Reutlingen
Coauthor(s)
Date of entry 2001-08-06 14:48:34
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