Hyperammonemia type 2.
Most common area cycle disorder,has OTC deficiency.
X- linked and partially Dominant.
Has Orotic aciduria: accumulated carbamoyl phosphate reaches cytoplasm and enters Pyrimidine synthesis,Orotic acid is an intermediate which accumulates.
Orotate precipitates in Urine as pink coloured Gravel/Stones.
Elevated Glutamine and Alanine, low levels of citrulline and Arginine.
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