Different phenotypes in identical twins with cerebrotendinous xanthomatosis case series /

Cerebrotendinous xanthomatosis (CTX) is a rare, genetically determined error of metabolism. The characteristic clinical symptoms are diarrhea, juvenile cataracts, tendon xanthomas and neuropsychiatric alterations. The aim of this study is to present a pair of identical adult twins with considera...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Zádori Dénes
Szpisjak László
Madar László
Varga Viktória Evelin
Csányi Bernadett
Bencsik Krisztina
Balogh István
Harangi Mariann
Kereszty Éva Margit
Vécsei László
Klivényi Péter
Dokumentumtípus: Cikk
Megjelent: Springer-Verlag 2017
Sorozat:NEUROLOGICAL SCIENCES 38 No. 3
doi:10.1007/s10072-016-2776-6

mtmt:3147588
Online Access:http://publicatio.bibl.u-szeged.hu/11682
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520 3 |a Cerebrotendinous xanthomatosis (CTX) is a rare, genetically determined error of metabolism. The characteristic clinical symptoms are diarrhea, juvenile cataracts, tendon xanthomas and neuropsychiatric alterations. The aim of this study is to present a pair of identical adult twins with considerable differences in the severity of phenotype. With regards to neuropsychiatric symptoms, the predominant features were severe Parkinsonism and moderate cognitive dysfunctions in the more-affected individual, whereas these alterations in the less-affected patient were only very mild and mild, respectively. The characteristic increase in the concentrations of serum cholestanol and the lesion volumes in dentate nuclei in the brain assessed with magnetic resonance imaging were quite similar in both cases. The lifestyle conditions, including eating habits of the twin pair, were quite similar as well; therefore, currently unknown genetic modifiers or certain epigenetic factors may be responsible for the differences in severity of phenotype. This case series serves as the first description of an identical twin pair with CTX presenting heterogeneous clinical features. 
700 0 1 |a Szpisjak László  |e aut 
700 0 1 |a Madar László  |e aut 
700 0 1 |a Varga Viktória Evelin  |e aut 
700 0 1 |a Csányi Bernadett  |e aut 
700 0 1 |a Bencsik Krisztina  |e aut 
700 0 1 |a Balogh István  |e aut 
700 0 1 |a Harangi Mariann  |e aut 
700 0 1 |a Kereszty Éva Margit  |e aut 
700 0 1 |a Vécsei László  |e aut 
700 0 1 |a Klivényi Péter  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/11682/1/Zadori_D._NEUS_D_16_00859_R1_u_.pdf  |z Dokumentum-elérés  
856 4 0 |u http://publicatio.bibl.u-szeged.hu/11682/7/Neurol_sci_2017_3_tartj.pdf  |z Dokumentum-elérés