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Living with Citrullinemia type I

An inherited condition where ammonia and other toxic substances build up in the blood, usually showing up soon after birth.

Understanding Citrullinemia type I

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

Symptoms usually begin shortly after birth, with a lot of sleepiness, poor appetite, vomiting, and irritability. As ammonia builds up, muscle weakness and more serious symptoms may develop. It is often found through newborn screening and confirmed with more medical and genetic tests.

Signs & symptoms

Symptoms vary from person to person. GARD says they include:

  • Extra sleepiness
  • Poor appetite
  • Vomiting
  • Irritability
  • Muscle weakness
  • Liver failure

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 ASS1 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 and other patient organizations
  • 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
Can ASS1 genetic testing confirm the diagnosis?
What should we do when symptoms of high ammonia appear?
Which specialists should manage my child's care?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesASS1

GARD says changes in the ASS1 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: argininosuccinate synthase 1-gene related citrullinemia type i; argininosuccinate synthetase deficiency; argininosuccinic acid synthase deficiency; argininosuccinic acid synthetase deficiency; ass deficiency; ass1-gene related citrullinemia type i

Patient organizations

Source: NIH GARD · Citrullinemia type IGARD ID 6114 · 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 type I.

Explore the Citrullinemia type I blog

Explore research for Citrullinemia type I

Explore actively recruiting Citrullinemia type I studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Citrullinemia type I 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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