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Living with Cystathioninuria

A rare inherited metabolic condition in which a substance called cystathionine builds up and is passed in urine.

Understanding Cystathioninuria

Cystathioninuria is a rare inherited metabolic condition in which cystathionine builds up in the blood and is passed in the urine.

It happens because of a missing enzyme (cystathionine gamma-lyase). GARD describes the condition as benign, meaning it is not considered medically harmful. Some people have been reported with seizures or intellectual disability, but these may not be linked to the condition itself.

Signs & symptoms

Symptoms vary. GARD lists these as the most common:

  • Intellectual disability
  • Seizures

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 CTH 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 rare disease patient organizations for support
  • 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 a urine or blood test confirm cystathioninuria?
Is genetic testing of the CTH gene useful for our family?
Do any symptoms we see need separate evaluation?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesCTH

Changes in the CTH 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: cth - cystathioninuria; cystathionase deficiency; cystathione gamma-lyase deficiency syndrome; cystathionine gamma-lyase deficiency syndrome; cystathioninuria (disease); gamma-cystathionase deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · CystathioninuriaGARD ID 2428 · 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 Cystathioninuria.

Explore the Cystathioninuria blog

Explore research for Cystathioninuria

Explore actively recruiting Cystathioninuria studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Cystathioninuria 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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