Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Recovery from Marked Altered Consciousness in a Patient with Adult-onset Type II Citrullinemia Diagnosed by DNA Analysis and Treated with a Living Related Partial Liver Transplantation
Yasuhiro TAKASHIMAMakoto KOIDEHideyuki FUKUNAGAMasahide IWAIMasaki MIURARyoji YONEDATsuneo FUKUDAKeiko KOBAYASHITakeyori SAHEKI
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2002 Volume 41 Issue 7 Pages 555-560

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Abstract

A 21-year-old woman was admitted with altered consciousness and hyperammonemia. She was diagnosed as having adult-onset type II citrullinemia (CTLN2) by DNA analysis. The patient had mutations of the SLC25A13 gene, which were compound heterozygotes of 851 del 4 and IVS11+1G>A. CTLN2 has a poor prognosis, in spite of various intensive medications, and we performed a living related partial liver transplantation (LRLT). Over a 2-year follow-up, the patient has been well. CTLN2 can be diagnosed by the DNA analysis and can be treated by LRLT.
(Internal Medicine 41: 555-560, 2002)

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© The Japanese Society of Internal Medicine
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