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 acid | Result (nmol/mL) | Reference range (nmol/mL) |
| Phosphoserine | 0 | <18 | Phosphoethanolamine | <2 | <12 | Taurine | 24 (L) | 42–156 | Asparagine | 40 | 37–92 | Serine | 47 (L) | 63–187 | Hydroxyproline | 2 (L) | 4–29 | Glycine | 93 (L) | 126–490 | Glutamine | 892 | 371–957 | Aspartic acid | 2 | <7 | Ethanolamine | <7 | <67 | Histidine | 61 | 39–123 | Threonine | 43 (L) | 85–231 | Citrulline | 22 | 17–46 | Sarcosine | 1 | <5 | Beta-alanine | 13 | <29 | Alanine | 88 (L) | 200–579 | Glutamic acid | 43 | 13–113 | 1-Methylhistidine | 0 | <28 | 3-Methylhistidine | 3 | 2–9 | Argininosuccinic acid | 0 | <2 | Carnosine | 0 | <1 | Anserine | 0 | <1 | Homocitrulline | 1 | <2 | Arginine | 28 (L) | 32–120 | Alpha-aminoadipic acid | 2 | <3 | Gamma-amino-n-butyric acid | 0 | <2 | Beta-aminoisobutyric acid | 1 | <5 | Alpha-amino-n-butyric acid | 77 (H) | 9–37 | Hydroxylysine | 0 | <2 | Proline | 81 (L) | 97–368 | Ornithine | 13 (L) | 38–130 | Cystathionine | <1 | <5 | Cystine | 36 | 3–95 | Lysine | 283 (H) | 103–255 | Methionine | 41 | 4–44 | Valine | 179 | 136–309 | Tyrosine | 40 | 31–90 | Isoleucine | 54 | 36–107 | Leucine | 93 | 68–183 | Phenylalanine | 48 | 35–80 | Tryptophan | 35 | 29–77 | Allo-isoleucine | 0 | <5 |
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