Disorder of ornithine metabolism

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ORPHA:289869E72.4
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18Specialists8Treatment centers

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UniteRare data is sourced from FDA.gov, ClinicalTrials.gov, Orphanet, OMIM, and NORD.
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Overview

Disorder of ornithine metabolism is a group of rare inherited metabolic conditions that affect how the body processes ornithine, an amino acid that plays a key role in the urea cycle and other important biochemical pathways. The urea cycle is the body's main way of removing ammonia, a toxic waste product of protein breakdown. When ornithine metabolism is disrupted, harmful substances can build up in the blood and tissues, leading to a range of health problems. This group includes several specific conditions, most notably gyrate atrophy of the choroid and retina (caused by ornithine aminotransferase deficiency) and hyperornithinemia-hyperammonemia-homocitrullinuria (HHH) syndrome. Symptoms vary depending on the exact condition but can include vision problems, muscle weakness, intellectual disability, episodes of high ammonia in the blood (hyperammonemia), and liver dysfunction. Some patients experience seizures, poor growth, and developmental delays. Treatment typically focuses on managing symptoms and preventing complications. This often involves a low-protein diet to reduce ammonia production, arginine or ornithine-restricted diets, and supplements to support the urea cycle. In severe cases, medications that help remove ammonia from the body may be needed. Early diagnosis and ongoing management by a metabolic specialist are essential for the best possible outcomes. While there is currently no cure, careful dietary management and medical monitoring can significantly improve quality of life.

Key symptoms:

Progressive vision lossNight blindnessNarrowing of the visual field (tunnel vision)Muscle weaknessIntellectual disability or learning difficultiesEpisodes of confusion or lethargy from high ammonia levelsSeizuresPoor growth in childrenDevelopmental delaysLiver problemsNausea and vomiting, especially after eating proteinFatigue and low energyDifficulty with coordination and balanceCataracts or other eye problems

Inheritance

Variable

Can be inherited in different ways depending on the underlying gene

Age of Onset

Variable

Can begin at different ages, from infancy through adulthood

Orphanet ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Disorder of ornithine metabolism.

View clinical trials →

No actively recruiting trials found for Disorder of ornithine metabolism at this time.

New trials open frequently. Follow this disease to get notified.

Search ClinicalTrials.gov ↗Join the Disorder of ornithine metabolism community →

Specialists

18 foundView all specialists →
GP
George Diaz, M.D., Ph.D
Specialist
PI on 2 active trials
CM
Christian Schwabe, MD
Specialist
PI on 1 active trial
AM
Andrea L Gropman, M.D.
WASHINGTON, DC
Specialist
PI on 2 active trials
MH
Martina Huemer
Specialist
PI on 1 active trial5 Disorder of ornithine metabolism publications
LP
Lindsay Burrage, MD, PhD
HOUSTON, TX
Specialist
PI on 2 active trials
JM
Jose L Padilla, MD
Specialist
PI on 1 active trial
LM
Luz H Gutierrez, MD, MPH
Specialist
PI on 1 active trial
AP
Adam Wax, Ph.D.
Specialist
PI on 2 active trials
CM
Ciro Costagliola, MD
Specialist
PI on 1 active trial
SM
Shahab Abid, MD
Specialist
PI on 1 active trial
NM
Neil M. Bressler, M.D.
HOMESTEAD, FL
Specialist
PI on 1 active trial
SF
Simon D Taylor-Robinson, MBBS, FRCP
Specialist
PI on 1 active trial
SF
Simon D Taylor-Robinson, MD FRCP
Specialist
PI on 1 active trial
FP
Francisco J Bosques, MD, PhD
Specialist
PI on 1 active trial
CM
Claudia Isabel Blanco Vela, MD
MCALLEN, TX
Specialist
PI on 1 active trial

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Disorder of ornithine metabolism.

Search all travel grants →NORD Financial Assistance ↗

Community

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Latest news about Disorder of ornithine metabolism

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Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.Which specific type of ornithine metabolism disorder does my child or I have?,What dietary changes are needed, and can we work with a specialized dietitian?,What are the warning signs of a metabolic crisis, and what should I do in an emergency?,How often should blood tests and eye exams be done?,Are there any clinical trials or new treatments being studied for this condition?,Will this condition affect my child's learning or development, and what support is available?,Should other family members be tested for this condition?

Common questions about Disorder of ornithine metabolism

What is Disorder of ornithine metabolism?

Disorder of ornithine metabolism is a group of rare inherited metabolic conditions that affect how the body processes ornithine, an amino acid that plays a key role in the urea cycle and other important biochemical pathways. The urea cycle is the body's main way of removing ammonia, a toxic waste product of protein breakdown. When ornithine metabolism is disrupted, harmful substances can build up in the blood and tissues, leading to a range of health problems. This group includes several specific conditions, most notably gyrate atrophy of the choroid and retina (caused by ornithine aminotrans

Which specialists treat Disorder of ornithine metabolism?

18 specialists and care centers treating Disorder of ornithine metabolism are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.