Non-cirrhotic Hyperammonemia—When High Ammonia Is not Always from Cirrhosis

摘要: Though elevated ammonia is often associated with the presence of intrinsic liver disease, several other causes need to be considered. Elevated can either related increased production due a catabolic state (e.g., protein degradation) or decreased clearance. Diagnostic workup levels involves consideration following questions: (1) Is there evidence underlying disease? (2) hyperammonemia clearance ammonia? (3) simply bystander obvious clinical scenarios septic shock), does it imply for further unrecognized entities urea cycle defect) that prompt attention?