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Acute hyperammonemia

MedGen UID:
347900
Concept ID:
C1859506
Finding
Synonym: Hyperammonemia, acute
 
HPO: HP:0008281

Definition

An increased concentration of ammonia in the blood with sudden onset. [from HPO]

Conditions with this feature

3-methylcrotonyl-CoA carboxylase 1 deficiency
MedGen UID:
78691
Concept ID:
C0268600
Disease or Syndrome
3-Methylcrotonylglycinuria is an autosomal recessive disorder of leucine catabolism. The clinical phenotype is highly variable, ranging from neonatal onset with severe neurologic involvement to asymptomatic adults. There is a characteristic organic aciduria with massive excretion of 3-hydroxyisovaleric acid and 3-methylcrotonylglycine, usually in combination with a severe secondary carnitine deficiency. MCC activity in extracts of cultured fibroblasts of patients is usually less than 2% of control (summary by Baumgartner et al., 2001). Also see 3-methylcrotonylglycinuria II (MCC2D; 210210), caused by mutation in the beta subunit of 3-methylcrotonyl-CoA carboxylase (MCCC2; 609014).
3-methylcrotonyl-CoA carboxylase 2 deficiency
MedGen UID:
347898
Concept ID:
C1859499
Disease or Syndrome
3-Methylcrotonylglycinuria is an autosomal recessive disorder of leucine catabolism. The clinical phenotype is highly variable, ranging from neonatal onset with severe neurologic involvement to asymptomatic adults. There is a characteristic organic aciduria with massive excretion of 3-hydroxyisovaleric acid and 3-methylcrotonylglycine, usually in combination with a severe secondary carnitine deficiency. MCC activity in extracts of cultured fibroblasts of patients is usually less than 2% of control (summary by Baumgartner et al., 2001). Also see 3-methylcrotonylglycinuria I (MCC1D; 210200), caused by mutation in the alpha subunit of 3-methylcrotonyl-CoA carboxylase (MCCC1; 609010).

Professional guidelines

PubMed

Eiroa H, Durand C, Szlago M, Pereyra M, Nuñez M, Guelbert N, Pacheco G, Kleppe S
Arch Argent Pediatr 2023 Jun 1;121(3):e202202614. Epub 2022 Oct 27 doi: 10.5546/aap.2022-02614.eng. PMID: 36287611
Jeitner TM, Cooper AJ
Metab Brain Dis 2014 Dec;29(4):983-9. Epub 2013 Oct 18 doi: 10.1007/s11011-013-9439-6. PMID: 24136581Free PMC Article
Häberle J
Eur J Pediatr 2011 Jan;170(1):21-34. Epub 2010 Dec 17 doi: 10.1007/s00431-010-1369-2. PMID: 21165747

Recent clinical studies

Etiology

Abou Haidar L, Harris RC, Pachnis P, Chen H, Gotway GK, Ni M, DeBerardinis RJ
Cold Spring Harb Mol Case Stud 2023 Dec;9(4) Epub 2024 Jan 10 doi: 10.1101/mcs.a006295. PMID: 37709555Free PMC Article
Espíritu-Ramírez P, Ortega-Balderas NY, Sevilla-Tapia L, Montiel-Martínez AG, Pastor-Flores AR, Palomares LA, Torres-Vega MA
Ann Hepatol 2018 Oct 16;17(6):1026-1034. doi: 10.5604/01.3001.0012.7203. PMID: 30600292
Mikołajek-Bedner W, Torbé A, Kwiatkowski S, Michalczyk M, Gizewska M, Rokicki D, Rzepka R, Konstanty-Kurkiewicz V, Domański M, Czajka R
Ginekol Pol 2013 Jul;84(7):654-6. doi: 10.17772/gp/1621. PMID: 24032281
Ghabril M, Nguyen J, Kramer D, Genco T, Mai M, Rosser BG
Liver Transpl 2007 Dec;13(12):1714-6. doi: 10.1002/lt.21291. PMID: 18044746
Barr J, Eshel G, Chen-Levy Z, Lahat E
J Child Neurol 2001 Jun;16(6):456-8. doi: 10.1177/088307380101600616. PMID: 11417617

Diagnosis

Yoshida H, Iwata Y, Fuchigami T, Katagiri J
Cardiol Young 2023 Sep;33(9):1775-1776. Epub 2023 Apr 12 doi: 10.1017/S1047951123000616. PMID: 37042609
Bennett EE, Hummel K, Smith AG, Longo N
J Emerg Med 2019 Jan;56(1):e5-e8. Epub 2018 Nov 9 doi: 10.1016/j.jemermed.2018.09.037. PMID: 30420308
Mikołajek-Bedner W, Torbé A, Kwiatkowski S, Michalczyk M, Gizewska M, Rokicki D, Rzepka R, Konstanty-Kurkiewicz V, Domański M, Czajka R
Ginekol Pol 2013 Jul;84(7):654-6. doi: 10.17772/gp/1621. PMID: 24032281
Häberle J
Eur J Pediatr 2011 Jan;170(1):21-34. Epub 2010 Dec 17 doi: 10.1007/s00431-010-1369-2. PMID: 21165747
Eubanks AL, Aguirre B, Bourgeois JA
Psychosomatics 2008 Jan-Feb;49(1):82-3. doi: 10.1176/appi.psy.49.1.82. PMID: 18212182

Therapy

Anwar S, Gupta D, Ashraf MA, Khalid SA, Rizvi SM, Miller BW, Brennan DC
Hemodial Int 2014 Jan;18(1):185-91. Epub 2013 Sep 2 doi: 10.1111/hdi.12088. PMID: 23998793
Kasapkara CS, Ezgu FS, Okur I, Tumer L, Biberoglu G, Hasanoglu A
Eur J Pediatr 2011 Jun;170(6):799-801. Epub 2011 Jan 5 doi: 10.1007/s00431-010-1362-9. PMID: 21207059
Ah Mew N, Payan I, Daikhin Y, Nissim I, Nissim I, Tuchman M, Yudkoff M
Mol Genet Metab 2009 Dec;98(4):325-30. Epub 2009 Jul 14 doi: 10.1016/j.ymgme.2009.07.010. PMID: 19660971Free PMC Article
Eubanks AL, Aguirre B, Bourgeois JA
Psychosomatics 2008 Jan-Feb;49(1):82-3. doi: 10.1176/appi.psy.49.1.82. PMID: 18212182
Ghabril M, Nguyen J, Kramer D, Genco T, Mai M, Rosser BG
Liver Transpl 2007 Dec;13(12):1714-6. doi: 10.1002/lt.21291. PMID: 18044746

Prognosis

Wilnai Y, Blumenfeld YJ, Cusmano K, Hintz SR, Alcorn D, Benitz WE, Berquist WE, Bernstein JA, Castillo RO, Concepcion W, Cowan TM, Cox KL, Lyell DJ, Esquivel CO, Homeyer M, Hudgins L, Hurwitz M, Palma JP, Schelley S, Akula VP, Summar ML, Enns GM
Mol Genet Metab 2018 Mar;123(3):297-300. Epub 2018 Jan 16 doi: 10.1016/j.ymgme.2018.01.004. PMID: 29396029
Mikołajek-Bedner W, Torbé A, Kwiatkowski S, Michalczyk M, Gizewska M, Rokicki D, Rzepka R, Konstanty-Kurkiewicz V, Domański M, Czajka R
Ginekol Pol 2013 Jul;84(7):654-6. doi: 10.17772/gp/1621. PMID: 24032281
Häberle J
Eur J Pediatr 2011 Jan;170(1):21-34. Epub 2010 Dec 17 doi: 10.1007/s00431-010-1369-2. PMID: 21165747
Ghabril M, Nguyen J, Kramer D, Genco T, Mai M, Rosser BG
Liver Transpl 2007 Dec;13(12):1714-6. doi: 10.1002/lt.21291. PMID: 18044746
Schmidt J, Kroeber S, Irouschek A, Birkholz T, Schroth M, Albrecht S
Paediatr Anaesth 2006 Mar;16(3):333-7. doi: 10.1111/j.1460-9592.2005.01695.x. PMID: 16490102

Clinical prediction guides

Silvera-Ruiz SM, Gemperle C, Peano N, Olivero V, Becerra A, Häberle J, Gruppi A, Larovere LE, Motrich RD
Front Immunol 2022;13:861516. Epub 2022 May 27 doi: 10.3389/fimmu.2022.861516. PMID: 35711415Free PMC Article
Clericetti CM, Milani GP, Lava SAG, Bianchetti MG, Simonetti GD, Giannini O
Pediatr Nephrol 2018 Mar;33(3):485-491. Epub 2017 Nov 13 doi: 10.1007/s00467-017-3829-7. PMID: 29134448
Otsuji K, Simizu S, Endo T, Kanazawa A, Arai H, Nagata K, Harayama N, Nihei S, Aibara K, Saito M, Kamochi M
J UOEH 2017;39(4):271-276. doi: 10.7888/juoeh.39.271. PMID: 29249740
Ghannoum M, Laliberté M, Nolin TD, MacTier R, Lavergne V, Hoffman RS, Gosselin S; EXTRIP Workgroup
Clin Toxicol (Phila) 2015 Jun;53(5):454-65. doi: 10.3109/15563650.2015.1035441. PMID: 25950372
Ah Mew N, Payan I, Daikhin Y, Nissim I, Nissim I, Tuchman M, Yudkoff M
Mol Genet Metab 2009 Dec;98(4):325-30. Epub 2009 Jul 14 doi: 10.1016/j.ymgme.2009.07.010. PMID: 19660971Free PMC Article

Recent systematic reviews

Clericetti CM, Milani GP, Lava SAG, Bianchetti MG, Simonetti GD, Giannini O
Pediatr Nephrol 2018 Mar;33(3):485-491. Epub 2017 Nov 13 doi: 10.1007/s00467-017-3829-7. PMID: 29134448
Ghannoum M, Laliberté M, Nolin TD, MacTier R, Lavergne V, Hoffman RS, Gosselin S; EXTRIP Workgroup
Clin Toxicol (Phila) 2015 Jun;53(5):454-65. doi: 10.3109/15563650.2015.1035441. PMID: 25950372

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