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Scaglia F, Zheng Q, OBrien WE, Henry J, Rosenberger J, Reeds P, Lee B (2002) An integrated approach to the diagnosis and prospective management of partial ornithine transcarbamylase deficiency

For most patients, the muscles of the eyes and eyelids are typically the first to be affected, regardless of whether patients continue to have an ocular form of the disease or progress to the generalized type