ORPHA:90 Arginase deficiency (argininaemia) E72.2
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Arm 1: - Confirmed arginase deficiency (biochemically, enzymatically or molecularly confirmed). Arm 2: - Presence of a progressive spastic syndrome that is etiologically unexplained and cannot be explained by the presence of infantile cerebral palsy. - Presence of a complete, valid informed consent form from the legal guardians and, if possible, from the underage patients according to their age group. - Optional: Presence of one or more of the following symptoms: cognitive developmental disorder, failure to thrive, epilepsy, history of hyperammonaemia (> 1 documented episode)
Exclusion criteria
Exclusion criteria: Arm 1: - Adults = 18 years. Arm 2: - Adults = 18 years of age. - Invalid or incomplete informed consent form available. - Patients who have already undergone genetic analysis (exome or genome sequencing, Sanger sequencing of the ARG1 gene) without evidence of the biallelic presence of pathogenic ARG1 variants. - Patients with previous determination of amino acids in plasma or dried blood that have ruled out the presence of arginase deficiency.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - To determine the prevalence of arginase deficiency in children and adolescents up to 18 years of age by surveying the number of diagnosed cases of arginase deficiency in Germany, Austria and Switzerland. - Description of the clinical spectrum and disease course of arginase deficiency based on the distribution and frequency of disease-specific symptoms. - Shortening the diagnostic latency in patients (< 18 years) with a suggestive medical history (etiologically unexplained, progressive spastic syndrome) by specifically clarifying the presence of arginase deficiency. | — |
Countries
Austria, Germany, Switzerland
Contacts
Universität Heidelberg, Medizinische Fakultät Heidelberg, Zentrum für Kinder- und Jugendmedizin, Sektion für Neuropädiatrie und Stoffwechselmedizin