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著者: Naoki Hagiwara, Yoshiki Sekijima, Yo-ichi Takei, Shu-ichi Ikeda, Seiji Kawasaki, Keiko Kobayashi, Takeyori Saheki
雑誌名: Intern Med. 2003 Oct;42(10):978-82.
Abstract/Text
A 40-year-old woman was admitted with altered consciousness and hyperammonemia after she had delivered her first baby. DNA analysis of the citrin gene and enzymatic assay of argininosuccinate synthetase in the liver led to a diagnosis of adult-onset type II citrullinemia (CTLN2). She was also found to have hepatocellular carcinoma (HCC) and underwent palliative surgery consisting of partial liver section of the HCC. Delivery may be a trigger for the development of CTLN2, while certain pathologic conditions associated with citrin gene abnormality are likely to induce hepatocellular carcinoma in patients with this disorder.
PMID 14606711 Intern Med. 2003 Oct;42(10):978-82.
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