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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
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
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
Brossier D, Goyer I, Ziani L, Marquis C, Mitchell G, Ozanne B, Jouvet P
J Inherit Metab Dis 2019 Jan;42(1):77-85. doi: 10.1002/jimd.12029. PMID: 30740742
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
McGuire PJ, Lee HS; members of the Urea Cycle Disorders Consoritum, Summar ML
J Pediatr 2013 Dec;163(6):1705-1710.e1. Epub 2013 Sep 29 doi: 10.1016/j.jpeds.2013.08.029. PMID: 24084106Free PMC Article
Lichter-Konecki U, Nadkarni V, Moudgil A, Cook N, Poeschl J, Meyer MT, Dimmock D, Baumgart S
Mol Genet Metab 2013 Aug;109(4):354-9. Epub 2013 May 29 doi: 10.1016/j.ymgme.2013.05.014. PMID: 23791307

Diagnosis

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
Miller MJ, Luu SM, Graham BH
Clin Chem 2021 Nov 1;67(11):1572-1574. doi: 10.1093/clinchem/hvab112. PMID: 34726698
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
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
Häberle J
Eur J Pediatr 2011 Jan;170(1):21-34. Epub 2010 Dec 17 doi: 10.1007/s00431-010-1369-2. PMID: 21165747

Therapy

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
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
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
Walker V
Adv Clin Chem 2014;67:73-150. Epub 2014 Nov 4 doi: 10.1016/bs.acc.2014.09.002. PMID: 25735860
Enns GM
Mol Genet Metab 2010;100 Suppl 1:S65-71. Epub 2010 Feb 13 doi: 10.1016/j.ymgme.2010.02.007. PMID: 20202877

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
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
Mauhin W, Habarou F, Gobin S, Servais A, Brassier A, Grisel C, Roda C, Pinto G, Moshous D, Ghalim F, Krug P, Deltour N, Pontoizeau C, Dubois S, Assoun M, Galmiche L, Bonnefont JP, Ottolenghi C, de Blic J, Arnoux JB, de Lonlay P
Orphanet J Rare Dis 2017 Jan 5;12(1):3. doi: 10.1186/s13023-016-0550-8. PMID: 28057010Free PMC Article
McGuire PJ, Lee HS; members of the Urea Cycle Disorders Consoritum, Summar ML
J Pediatr 2013 Dec;163(6):1705-1710.e1. Epub 2013 Sep 29 doi: 10.1016/j.jpeds.2013.08.029. PMID: 24084106Free 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

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
Desjardins P, Butterworth RF
Neurochem Int 2002 Aug-Sep;41(2-3):109-14. doi: 10.1016/s0197-0186(02)00031-1. PMID: 12020611

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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