PT - JOURNAL ARTICLE AU - Sarar Mohamed AU - Muddathir H. Hamad AU - Altaf A. Kondkar AU - Khaled K. Abu-Amero TI - A novel mutation in ornithine transcarbamylase gene causing mild intermittent hyperammonemia AID - 10.15537/smj.2015.10.12127 DP - 2015 Oct 01 TA - Saudi Medical Journal PG - 1229--1232 VI - 36 IP - 10 4099 - http://smj.org.sa/content/36/10/1229.short 4100 - http://smj.org.sa/content/36/10/1229.full SO - Saudi Med J2015 Oct 01; 36 AB - We report a 3-year-old Saudi boy with recurrent episodes of vomiting, poor feeding, and altered mental status accompanied by an intermittent mild hyperammonemia, and a large elevation of urinary orotic acid. Sanger sequencing of the ornithine transcarbamylase (OTC) gene revealed a novel hemizygous deletion at the fourth nucleotide of intron 4 (c.386+4delT) in the proband and his asymptomatic mother. This novel mutation in the OTC gene is responsible for the late-onset phenotype of OTC deficiency.