Arginase Deficiency

Arginase deficiency is a very rare inborn error of the urea cycle. The first symptoms are often identified between 2 and 4 years and include clumsiness, spasticity and diminished growth. In untreated individuals symptoms are progressive resulting in loss of psychomotor function, spasticity, hyperactive deep-tendon reflexes, developmental delay, poor growth and seizures. Unlike the other defects of ureagenesis, patients with arginase deficiency rarely present in the neonatal period with acute episodes of hyperammonemia and, if they do, the episodes are generally less severe. A minority of patients have persistent or intermittent episodes of irritability, nausea, poor appetite and vomiting, which may progress to lethargy. Typically, hepatomegaly is present during acute episodes of hyperammonemia but is otherwise absent.

Tests Available

Forms and Documents

Test Details

  • Diagnostic confirmation
  • Carrier testing
  • Prenatal diagnosis in at risk pregnancies

Ordering

465
4-5 weeks
2-5 mL Blood - Lavender Top Tube
Buccal Swabs

Billing

81479x1
No
Yes
  • 796.6 Abnormal findings on neonatal screening
  • 270.6 Disorders of urea cycle metabolism, Argininosuccinic aciduria, Citrullinemia, Disorders of metabolism of ornithine, citrulline, argininosuccinic acid, arginine, and ammonia, Hyperammonemia, Hyperornithinemia
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*The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

References

  1. Uchino et al., (1995) Hum Genet 96:255-260.
  2. Korman et al., (2004) Prenat Diagn 24:857-860.
  3. Cardoso et al., (1999) Hum Mutat 14:355-6.
  4. Crombez, E. and Cederbaum, S. (2005) Mol Genet Metab 84:243-251.