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Citrullinemia

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Disease definition

Citrullinemia is an autosomal recessively inherited disorder of urea cycle metabolism and ammonia detoxification characterized by elevated concentrations of serum citrulline and ammonia. The disease presents with a large range of manifestations including neonatal hyperammonemic encephalopathy with lethargy, seizures and coma; hepatic dysfunction in all age groups; episodes of hyperammonemia and neuropsychiatric symptoms in children or adults, or, can be asymptomatic in some cases (detected in newborn screening programs). Citrullinemia is divided into two main groups that are encoded by different genes: citrullinemia type I (comprised of acute neonatal citrullinemia type I and adult-onset citrullinemia type I) and citrin deficiency (comprised of adult-onset citrullinemia type II and neonatal intrahepatic cholestasis due to citrin deficiency).

ORPHA:187

Classification level: Group of disorders

Prevalence: Unknown

Inheritance: Autosomal recessive

Age of onset: Adult, Neonatal

ICD-11: 5C50.A3

UMLS: C0175683

MeSH: D020159

A summary on this disease is available in Français, Español, Deutsch, Italiano, Português, Nederlands Ελληνικά
Detailed information

Logo ERN: produced/endorsed by ERN(s) Logo FSMR: produced/endorsed by FSMR(s)

Guidelines
Emergency guidelines
Français (2023.pdf) - Orphanet Urgences
English (2012.pdf) - Brit Inher Metab Dis Group
Anesthesia guidelines
English (2020) - Orphananesthesia
Español (2020) - Orphananesthesia
Clinical practice guidelines
English (2019) - Orphanet J Rare Dis
The documents contained in this website are presented for information purposes only. The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment.