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Living with Arginase deficiency

An inherited metabolic condition in which arginine and ammonia build up in the blood, mainly affecting movement and development.

Understanding Arginase deficiency

Arginase deficiency is an inherited condition in which the amino acid arginine and ammonia slowly build up in the blood.

Ammonia is toxic at high levels, and the nervous system is especially sensitive to it. The condition usually becomes clear by about age 3, most often as stiff legs (spasticity). Other signs can include slow growth, developmental delay, seizures, tremors, and balance problems. High-protein meals, illness, or fasting can cause ammonia to rise faster. Some people have milder signs that appear later in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Muscle stiffness, especially in the legs (spasticity)
  • Delayed development
  • Intellectual disability
  • Seizures
  • Weakness on one side of the body
  • Changes in speech or behavior

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Consider genetic testing

    Changes in ARG1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Urea Cycle Disorders Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What diet or nutrition plan is right for managing protein and ammonia?
What signs of high ammonia should I watch for during illness?
Which therapies help with stiffness and balance?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesARG1

GARD says changes in the ARG1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: arg1 deficiency; arg1-gene related arginase deficiency; argi deficiency; arginase 1-gene related arginase deficiency; argininemia; deficiency of arginase

Patient organizations

Source: NIH GARD · Arginase deficiencyGARD ID 5840 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Arginase deficiency.

Explore the Arginase deficiency blog

Explore research for Arginase deficiency

Explore actively recruiting Arginase deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Arginase deficiency with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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