A case of carbamoyl phosphate synthetase 1 deficiency presenting symptoms at one month of age.

Abstract:

:Carbamoyl phosphate synthetase 1 deficiency (CPS1D) is an autosomal recessive disorder of the urea cycle which causes hyperammonemia. Two forms of CPS1D are recognized: a lethal neonatal type and a less severe, delayed onset type. Neonatal CPS1D cases often present their symptoms within the first days of life. Delayed onset type were adolescents or adults, and infantile cases were rare. We report a case of CPS1D in a boy who developed symptoms at one month of age. He showed excellent response to treatments including continuous hemodialysis, drugs and a low-protein diet. His development and weight gain were good at the last follow-up at 1 year and three months of age. Molecular assay of the CPS1 gene demonstrated that the patient was heterozygous for c.2407C>G (R803G: maternal) in exon 20 and c.3784C>T (R1262X: paternal) in exon 32. Our clinical experience suggests that CPS1D could be one of the causes of hyperammonemia in early infantile cases.

journal_name

Brain Dev

journal_title

Brain & development

authors

Ono H,Suto T,Kinoshita Y,Sakano T,Furue T,Ohta T

doi

10.1016/j.braindev.2008.12.013

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

779-81

issue

10

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(08)00299-4

journal_volume

31

pub_type

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