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Lysinuric Protein Intolerance Presenting with Recurrent Hyperammonemic Encephalopathy.

Indian Pediatrics 2016 August 9
BACKGROUND: Lysinuric protein intolerance is an inherited disorder of transport of cationic amino acids, causing amino aciduria.

CASE CHARACTERISTICS: A 3-year-old boy with 12 month history of episodic change in behavior (decreased sleep, poor interaction), stunted growth and hyperammonemia.

OUTCOME: Genetic analysis revealed a homozygous mutation, c.158C>T (p.Ser53Leu) in exon 1 of SLC7A7 gene. With appropriate management of hyperammonemia episodes, his neurodevelopmental outcome is normal.

MESSAGE: Lysinusic protein intolerance is a potentially treatable disorder and should not to be missed.

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