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Assays / Genetic
Enzymes / Argininosuccinic
Aciduria
Symptoms in the neonatal type of this disorder
are similar to those of ornithine
transcarbamylase deficiency, carbamoyl
phosphate synthetase deficiency or citrullinaemia.
There is poor feeding, persistent vomiting and lethargy, leading
to coma and death in untreated patients. Argininosuccinic acid,
usually detected after conversion to its anhydrides, is present
in excess in the urine. In later onset types there is failure to
thrive and feeding difficulties in the first few months, or developmental
delay and convulsions in the second year. Abnormally fragile hair
(trichorrhexis nodosa) is often present in these patients.
Enzyme Tests:
[14C]-citrulline incorporation in cultured fibroblasts
is measured to diagnose this disorder.
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Assays Available
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