title: Nonhepatic hyperammonemic encephalopathy due to undiagnosed urea cycle disorder.
abstract: Ornithine transcarbamoylase deficiency is the most common inherited urea cycle disorder. In adults, its phenotypes are diverse. In asymptomatic patients with late presentations, symptom onset is often associated with a precipitating factor. We present a case of a woman with urea cycle disorder diagnosed after an acute peptic ulcer bleed and fasting.
authors.affiliation: Department of Internal Medicine, Texas Tech University Health Science Center, Lubbock, Texas.
authors.forename: Tashfeen
authors.initials: T
authors.lastname: Mahmood
authors.affiliation: Department of Internal Medicine, Texas Tech University Health Science Center, Lubbock, Texas.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Nugent