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Living with Citrullinemia

An inherited condition that lets ammonia and other toxic substances build up in the blood, in two main types.

Understanding Citrullinemia

Citrullinemia is an inherited disorder that causes ammonia and other toxic substances to build up in the blood.

There are two types, with different symptoms and different genes. Type I (classic) usually shows in the first days of life with lethargy, poor feeding, vomiting, seizures, and loss of consciousness. A milder form can start later in childhood or adulthood, with headaches, blind spots, poor balance, and lethargy. Some people with type I gene changes never have symptoms.

Signs & symptoms

Symptoms vary by type. GARD says type I may cause:

  • Lack of energy (lethargy)
  • Poor feeding
  • Vomiting
  • Seizures
  • Loss of consciousness
  • Liver problems

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 type of citrullinemia is it?
Can genetic testing confirm the type?
What should we do if symptoms of high ammonia appear?

Quick facts

Symptoms usually startNewborn and as an Adult
InheritanceAutosomal Recessive

GARD says citrullinemia is caused by gene changes, and the two types involve different genes. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: argininosuccinate synthase deficiency; deficiency of argininosuccinate synthase; deficiency of citrulline-aspartate ligase

Patient organizations

Source: NIH GARD · CitrullinemiaGARD ID 16522 · 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 Citrullinemia.

Explore the Citrullinemia blog

Explore research for Citrullinemia

Explore actively recruiting Citrullinemia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Citrullinemia 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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