Case Report

Hyperammonemia: What Urea-lly Need to Know: Case Report of Severe Noncirrhotic Hyperammonemic Encephalopathy and Review of the Literature

Table 1

Results of serum amino acid testing.

Amino acidResult
(nmol/mL)
Reference range
(nmol/mL)

Phosphoserine0<18
Phosphoethanolamine<2<12
Taurine24 (L)42–156
Asparagine4037–92
Serine47 (L)63–187
Hydroxyproline2 (L)4–29
Glycine93 (L)126–490
Glutamine892371–957
Aspartic acid2<7
Ethanolamine<7<67
Histidine 6139–123
Threonine43 (L)85–231
Citrulline2217–46
Sarcosine1<5
Beta-alanine13<29
Alanine88 (L)200–579
Glutamic acid4313–113
1-Methylhistidine 0<28
3-Methylhistidine32–9
Argininosuccinic acid0<2
Carnosine0<1
Anserine0<1
Homocitrulline1<2
Arginine28 (L)32–120
Alpha-aminoadipic acid2<3
Gamma-amino-n-butyric acid0<2
Beta-aminoisobutyric acid1<5
Alpha-amino-n-butyric acid77 (H)9–37
Hydroxylysine0<2
Proline81 (L)97–368
Ornithine13 (L)38–130
Cystathionine<1<5
Cystine363–95
Lysine283 (H)103–255
Methionine414–44
Valine179136–309
Tyrosine4031–90
Isoleucine5436–107
Leucine9368–183
Phenylalanine4835–80
Tryptophan3529–77
Allo-isoleucine0<5