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Pathogenesis (Urea Cycle Disorder)
  • N-Acetylglutamate deficiency leads to insufficient urea production with toxic accumulation of ammonia (nitrogen)
Clinical, Severe Form
  • Onset: Birth
  • Neurological manifestations: Failure to Thrive.
Clinical, Mild Form
  • Onset: Adulthood
  • Neurological manifestations: Ammonia toxicity (confusion, decreased arousal, ataxia) with high-protein foods.
Genetics
  • NAGS gene mutation
  • Autosomal recessive
References
  • Calvo, Sherri; Collins, Heather; Greenberg, Kathleen, et. al at US National Library of Medicine, Genetics Home Reference. https://ghr.nlm.nih.gov