Arginase deficiency with parotid gland swelling and hyperamylasemia: A case report.

Arginase deficiency hyperammonemia hyperamylasemia liver cirrhosis parotid gland swelling

Journal

SAGE open medical case reports
ISSN: 2050-313X
Titre abrégé: SAGE Open Med Case Rep
Pays: England
ID NLM: 101638686

Informations de publication

Date de publication:
2023
Historique:
received: 10 03 2023
accepted: 27 05 2023
medline: 28 6 2023
pubmed: 28 6 2023
entrez: 28 6 2023
Statut: epublish

Résumé

Arginase deficiency is a progressive neurological disorder characterized by episodic hyperammonemia crises. Our patient had been diagnosed with cerebral palsy (spastic paraplegia) in childhood and received rehabilitation. She had suffered parotid swelling since the age of 5 years, prior to liver dysfunction becoming apparent, and then developed hyperamylasemia at 8 years of age. At age 25 years, she presented with hyperammonemia and elevations of aspartate aminotransferase and alanine aminotransferase. At age 27 years, she was diagnosed with arginase deficiency due to hyperargininemia and absent arginase activity in erythrocytes. Liver cirrhosis was also present. She was hospitalized several times for management of episodic hyperammonemia due to recurrent viral infections, an unbalanced diet, and poor compliance with medications.

Identifiants

pubmed: 37377459
doi: 10.1177/2050313X231181836
pii: 10.1177_2050313X231181836
pmc: PMC10291395
doi:

Types de publication

Case Reports

Langues

eng

Pagination

2050313X231181836

Informations de copyright

© The Author(s) 2023.

Déclaration de conflit d'intérêts

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Noboru Kuyama (N)

Department of Pediatrics, Tokyo Women's Medical University, Tokyo, Japan.
Kuyama Children's Clinic, Chiba, Japan.

Shigeru Nagaki (S)

Department of Pediatrics, Tokyo Women's Medical University, Tokyo, Japan.
Nagaki Children's Clinic, Tokyo, Japan.

Akie Miyamoto (A)

Department of Pediatrics, Tokyo Women's Medical University, Tokyo, Japan.

Kaoru Etou (K)

Department of Pediatrics, Tokyo Women's Medical University, Tokyo, Japan.

Hiroshi Maruyama (H)

Department of Pediatrics, Tokyo Women's Medical University, Tokyo, Japan.
Matudo Clinic, Chiba, Japan.

Makiko Osawa (M)

Department of Pediatrics, Tokyo Women's Medical University, Tokyo, Japan.

Classifications MeSH