raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:247585

Citrullinemia type II

Synonyms: Adult-onset citrin deficiency · Adult-onset citrullinemia type 2 · Adult-onset citrullinemia type II · CTLN2 · Citrullinemia type 2

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adult
Status
active

A severe subtype of citrin deficiency characterized clinically by adult onset (20 and 50 years of age), recurrent episodes of hyperammonemia and associated neuropsychiatric symptoms such as nocturnal delirium, confusion, restlessness, disorientation, drowsiness, memory loss, abnormal behavior (aggression, irritability, and hyperactivity), seizures, and coma.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCitrullinemia type IIAdult-onset citrin deficiency · Adult-onset citrullinemia type 2 · Adult-onset citrullinemia type II · CTLN2 · Citrullinemia type 2
frCitrullinémie type IICTLN2 · Citrullinémie type 2 · Citrullinémie type 2 de l'adulte · Citrullinémie type II de l'adulte · Déficit en citrine de l'adulte
deZitrullinämie Typ IICTLN2 · Citrin-Mangel mit Beginn im Erwachsenenalter · Citrullinämie Typ II · Zitrullinämie Typ 2 · Zitrullinämie mit Beginn im Erwachsenenalter, Typ 2 · Zitrullinämie mit Beginn im Erwachsenenalter, Typ II · Zitrullinämie, adulte, Typ 2
esCitrulinemia tipo IICTLN2 · Citrulinemia tipo 2 · Citrulinemia tipo 2 de inicio en el adulto · Citrulinemia tipo II de inicio en el adulto
itCitrullinemia, tipo IICTLN2 · Citrullinemia a esordio nell'età adulta, tipo 2 · Citrullinemia a esordio nell'età adulta, tipo II · Citrullinemia, tipo 2 · Deficit di citrina a esordio nell'età adulta
nlCitrullinemie type IICitrullinemie type 2 met aanvang op volwassen leeftijd · Citrullinemie type II met aanvang op volwassen leeftijd · CTLN2 · Citrinedeficiëntie met aanvang op volwassen leeftijd · Citrullinemie type 2
ptCitrulinémia, tipo II
plCitrulinemia typu IICitrulinemia typu 2 · Citrulinemia typu 2 o początku w wieku dorosłym · Citrulinemia typu II o początku w wieku dorosłym · CTLN2 · Niedobór cytrynianu o początku w wieku dorosłym
csCitrulinémie II. typuCTLN 2 · Citrulinémie, typ 2 · Citrinový deficit s nástupem v dospělosti · Citrulinémie 2. typu s nástupem v dospělosti · Citrulinémie II. typu s nástupem v dospělosti
ukЦитрулінемія, тип IIДефіцит цитрину у дорослих · Цитрулінемія 2 типу, що починається у дорослих · Цитрулінемія, що починається у дорослих, тип II · Цитрулінемія типу 2 · CTLN2
zh瓜氨酸血症II型成人起病瓜氨酸血症II型
trSitrülinemi tip IICTLN2 · Sitrülinemi tip 2 · Erişkin-başlangıçlı sitrin eksikliği · Erişkin-başlangıçlı sitrülinemi tip 2 · Erişkin-başlangıçlı sitrülinemi tip II

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM603471Evalidated
ICD-10E72.2NTBTattributedvalidated
ICD-115C50.A3NTBTindexvalidated
MONDO0016603Evalidated
MeSHC538053Evalidated
UMLSC1863844Evalidated
GARD10215Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SLC25A13Disease-causing germline mutation(s) inAssessedHGNC:10983ENSG000000048646038597q21.3solute carrier family 25 member 1320301360[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

46 annotations · validated 2019-07-04
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008281Acute hyperammonemia
HP:0045082Decreased body mass index
HP:0011966Elevated plasma citrulline
HP:0001397Hepatic steatosis
Frequent (79-30%)
HP:0100738Abnormal eating behavior
HP:0000718Aggressive behavior
HP:0012164Asterixis
HP:0001289Confusion
HP:0031258Delirium
HP:0000746Delusion
HP:0002329Drowsiness
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0007159Fluctuations in consciousness
HP:0000738Hallucinations
HP:0002240Hepatomegaly
HP:0003077Hyperlipidemia
HP:0002155Hypertriglyceridemia
HP:0003073Hypoalbuminemia
HP:0003075Hypoproteinemia
HP:0000737Irritability
HP:0001254Lethargy
HP:0002354Memory impairment
HP:0030166Night sweats
HP:0000711Restlessness
HP:0001250Seizure
HP:0002360Sleep abnormality
HP:0030765Sleep terror
HP:0001337Tremor
Occasional (29-5%)
HP:0002181Cerebral edema
HP:0001259Coma
HP:0003233Decreased HDL cholesterol concentration
HP:0012569Delayed menarche
HP:0002014Diarrhea
HP:0010529Echolalia
HP:0000805Enuresis
HP:0001263Global developmental delay
HP:0002480Hepatic encephalopathy
HP:0001395Hepatic fibrosis
HP:0001402Hepatocellular carcinoma
HP:0000752Hyperactivity
HP:0003124Hypercholesterolemia
HP:0100785Insomnia
HP:0100754Mania
HP:0001733Pancreatitis
HP:0000709Psychosis
HP:0002013Vomiting

Run the differential on the 4 obligate / very frequent terms

Annotation source: 20301360[PMID]_30588060[PMID]_18620775[PMID]_11153906[PMID]

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Sources for this card