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
Variable
Can be inherited in different ways depending on the underlying gene
Variable
Can begin at different ages, from infancy through adulthood
Treatments
No FDA-approved treatments are currently listed for Disorder of ornithine metabolism.
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Treatment Centers
8 centersBaylor College of Medicine Rare Disease Center ↗
Baylor College of Medicine
📍 Houston, TX
🏥 NORDStanford Medicine Rare Disease Center ↗
Stanford Medicine
📍 Stanford, CA
🔬 UDNNIH Clinical Center Undiagnosed Diseases Program ↗
National Institutes of Health
📍 Bethesda, MD
🔬 UDNUCLA UDN Clinical Site ↗
UCLA Health
📍 Los Angeles, CA
🔬 UDNBaylor College of Medicine UDN Clinical Site ↗
Baylor College of Medicine
📍 Houston, TX
🔬 UDNHarvard/MGH UDN Clinical Site ↗
Massachusetts General Hospital
📍 Boston, MA
🏥 NORDMayo Clinic Center for Individualized Medicine ↗
Mayo Clinic
📍 Rochester, MN
👤 Mayo Clinic Center for Individualized Medicine
🏥 NORDUCLA Rare Disease Day Program ↗
UCLA Health
📍 Los Angeles, CA
Travel Grants
No travel grants are currently matched to Disorder of ornithine metabolism.
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Caregiver Resources
NORD Caregiver Resources
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Family & Caregiver Grants
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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.