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Living with Citrin deficiency

A rare inherited condition affecting how the body clears ammonia, with liver problems in newborns or brain-related symptoms in adults.

Understanding Citrin deficiency

Citrin deficiency is a rare inherited urea cycle disorder that appears in a newborn form or an adult form.

The adult-onset form, citrullinemia type II, causes recurring episodes of high ammonia (hyperammonemia) with brain and behavior symptoms. The newborn form, called neonatal intrahepatic cholestasis due to citrin deficiency, causes temporary bile flow problems and varying liver problems. GARD lists onset at any time in life.

Signs & symptoms

GARD doesn't list specific symptoms for this condition, but the summary describes:

  • Repeated episodes of high ammonia
  • Brain and behavior symptoms in adults
  • Temporary slowed bile flow in newborns
  • Varying liver problems in newborns

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

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
Which form of citrin deficiency do I or my child have?
Can genetic testing confirm it?
What should we do to manage episodes of high ammonia?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive

GARD lists this condition as autosomal recessive, so a child inherits a changed copy of the gene from each parent. It doesn't name a gene.

GeneticInherited Metabolic

Also known as: slc25a13 related citrin deficiency; solute carrier family 25 member 13 related citrin deficiency

Patient organizations

Source: NIH GARD · Citrin deficiencyGARD ID 20661 · 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 Citrin deficiency.

Explore the Citrin deficiency blog

Explore research for Citrin deficiency

Explore actively recruiting Citrin deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Citrin 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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