Clinical and genetic analysis of Liver-Predominant ornithine transcarbamylase deficiency caused by a novel de novo OTC sequence variant in a female child.
An-Kang Zhu, Shi-Ni Cai, Chun-Hui Hu et al.
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From the abstract
Ornithine transcarbamylase deficiency (OTCD) is the most common urea cycle disorder. Although the classical presentation is dominated by hyperammonemia-related neurological manifestations, some patients may present with atypical liver-predominant phenotypes, which can delay early diagnosis.