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Classic citrullinemia is an inherited disorder caused by a deficiency of the enzyme argininosuccinate synthetase (ASS). This enzyme is responsible for the conversion of citrulline to arginine, an essential amino acid. Without this enzyme, citrulline accumulates in the body, leading to a variety of symptoms, including vomiting, poor feeding, lethargy, and seizures. In severe cases, it can lead to coma and death. Treatment involves a low-protein diet and supplementation with arginine.
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