title: Hepatocellular carcinoma in a case of adult-onset type II citrullinemia.
abstract: A 40-year-old woman was admitted with altered consciousness and hyperammonemia after she had delivered her first baby. DNA analysis of the citrin gene and enzymatic assay of argininosuccinate synthetase in the liver led to a diagnosis of adult-onset type II citrullinemia (CTLN2). She was also found to have hepatocellular carcinoma (HCC) and underwent palliative surgery consisting of partial liver section of the HCC. Delivery may be a trigger for the development of CTLN2, while certain pathologic conditions associated with citrin gene abnormality are likely to induce hepatocellular carcinoma in patients with this disorder.
authors: Third Department of Medicine, Shinshu University School of Medicine, Matsumoto.
authors: Naoki
authors: N
authors: Hagiwara
authors: Yoshiki
authors: Y
authors: Sekijima
authors: Yo-ichi
authors: Y
authors: Takei
authors: Shu-ichi
authors: S
authors: Ikeda
authors: Seiji
authors: S
authors: Kawasaki
authors: Keiko
authors: K
authors: Kobayashi
authors: Takeyori
authors: T
authors: Saheki
mesh_terms: D000328:Adult; D002135:Calcium-Binding Proteins / Q000235:genetics; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000601:surgery*; D020159:Citrullinemia / Q000150:complications* / Q000235:genetics; D005260:Female; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000601:surgery*; D027361:Organic Anion Transporters / Q000235:genetics; D011644:Puerperal Disorders / Q000150:complications* / Q000235:genetics
chemical_list: D002135:Calcium-Binding Proteins; D027361:Organic Anion Transporters; C008822:citrin