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Case report: An adult-onset type II citrin deficiency patient in the emergency department

机译:病例报告:急诊科一名成人发作的II型柑桔缺乏症患者

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摘要

Mutations in the solute carrier family 25 (SLC25A13) gene may result in neonatal intrahepatic cholestasis caused by citrin deficiency and/or adult-onset type II citrullinemia. These conditions are inherited in an autosomal recessive manner. The current case report describes a 43-year-old man who presented with sudden delirium and upper limb weakness. Upon admission, the patient was fully conscious and alert but later lost consciousness subsequent to a sudden convulsive seizure. Hyperammonemia was detected and analysis of the SLC25A13 gene identified an 851del4 mutation. Thus, the possibility of genetic disease should be considered as a potential cause of the symptoms of patients with altered states of consciousness, such as delirium and loss of consciousness, in cases where the cause of the disturbance is unknown.
机译:溶质载体家族25(SLC25A13)基因中的突变可能会导致由柠檬酸缺乏和/或成年发作的II型瓜氨酸血症引起的新生儿肝内胆汁淤积。这些状况以常染色体隐性方式遗传。当前的病例报告描述了一名43岁的男性,他突然出现ir妄和上肢无力。入院时,患者完全清醒且机敏,但随后突然抽搐发作而失去知觉。检测到高氨血症,对SLC25A13基因的分析鉴定出851del4突变。因此,在不明原因的情况下,应将遗传疾病的可能性视为意识状态改变(例如patients妄和意识丧失)患者症状的潜在原因。

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