Solé Carolina, Arriaga María, Cañedo Elvira
Department of Neonatology, Gregorio Marañon Hospital, Madrid, Spain.
Department of Metabolism Diseases and Nutrition, Niño Jesús Hospital, Madrid, Spain.
AJP Rep. 2020 Oct;10(4):e347-e351. doi: 10.1055/s-0040-1716733. Epub 2020 Oct 7.
Urea cycle disorders (UCDs) form a group of metabolic pathological conditions that might develop serious neurological consequences. Early diagnosis, before irreversible damage is established, is the most important prognostic and morbidity factor. We present the case of a 5-day newborn with high blood pressure and respiratory distress. Diagnosis was type I citrullinemia. With appropriate citrullinemia guided-treatment blood pressure returned to normal. High blood pressure has been rarely described as a lead symptom for the debut of a UCD. We must take this into consideration as an early recognition and treatment of these disorders are of the utmost importance.
尿素循环障碍(UCDs)是一组可能导致严重神经后果的代谢性病理状况。在不可逆转的损伤形成之前进行早期诊断,是最重要的预后和发病因素。 我们报告了一例5天大的新生儿,伴有高血压和呼吸窘迫。诊断为I型瓜氨酸血症。通过适当的瓜氨酸血症指导治疗,血压恢复正常。 高血压很少被描述为UCD首次出现的主要症状。我们必须将此考虑在内,因为对这些疾病的早期识别和治疗至关重要。