Movement Disorders (revue)

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The chorea of McLeod syndrome

Identifieur interne : 000848 ( Istex/Corpus ); précédent : 000847; suivant : 000849

The chorea of McLeod syndrome

Auteurs : A. Danek ; F. Tison ; J. Rubio ; M. Oechsner ; W. Kalckreuth ; A. P. Monaco

Source :

RBID : ISTEX:3C4A968D240A2578B0D55755C4FA182FBA29EBB5

English descriptors

Abstract

Among the movement disorders associated with acanthocytosis, McLeod syndrome (McKusick 314850) is the one that is best characterized on the molecular level. Its defining feature is low reactivity of Kell erythrocyte antigens. This is due to absence of membrane protein KX that forms a complex with the Kell protein. KX is coded for by the XK gene on the X‐chromosome. We present six males (aged 29 to 60 years), with proven XK mutations, to discuss the chorea associated with McLeod syndrome. The movement disorder commonly develops in the fifth decade and is progressive. It affects the limbs, the trunk and the face. In addition to facial grimacing, involuntary vocalization can be present. In early stages there may only be some restlessness or slight involuntary distal movements of ankles and fingers. Lip‐biting and facial tics seem more common in autosomal recessive choreoacanthocytosis linked to chromosome 9. This, together with the absence of dysphagia in McLeod syndrome, may help in differential diagnosis. Recent findings suggest a role for the endothelin system of the striatum in the pathogenesis of McLeod syndrome. © 2001 Movement Disorder Society.

Url:
DOI: 10.1002/mds.1188

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ISTEX:3C4A968D240A2578B0D55755C4FA182FBA29EBB5

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<keyword xml:id="kwd1">McLeod syndrome</keyword>
<keyword xml:id="kwd2">chorea</keyword>
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<keyword xml:id="kwd4">neurogenetic disorder</keyword>
<keyword xml:id="kwd5">acanthocytosis</keyword>
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<p>Among the movement disorders associated with acanthocytosis, McLeod syndrome (McKusick 314850) is the one that is best characterized on the molecular level. Its defining feature is low reactivity of Kell erythrocyte antigens. This is due to absence of membrane protein KX that forms a complex with the Kell protein. KX is coded for by the
<i>XK</i>
gene on the X‐chromosome. We present six males (aged 29 to 60 years), with proven
<i>XK</i>
mutations, to discuss the chorea associated with McLeod syndrome. The movement disorder commonly develops in the fifth decade and is progressive. It affects the limbs, the trunk and the face.</p>
<p>In addition to facial grimacing, involuntary vocalization can be present. In early stages there may only be some restlessness or slight involuntary distal movements of ankles and fingers. Lip‐biting and facial tics seem more common in autosomal recessive choreoacanthocytosis linked to chromosome 9. This, together with the absence of dysphagia in McLeod syndrome, may help in differential diagnosis. Recent findings suggest a role for the endothelin system of the striatum in the pathogenesis of McLeod syndrome. © 2001 Movement Disorder Society.</p>
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<affiliation>Neurologische Klinik, Ludwig‐Maximilians‐Universität, München, Germany</affiliation>
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<abstract lang="en">Among the movement disorders associated with acanthocytosis, McLeod syndrome (McKusick 314850) is the one that is best characterized on the molecular level. Its defining feature is low reactivity of Kell erythrocyte antigens. This is due to absence of membrane protein KX that forms a complex with the Kell protein. KX is coded for by the XK gene on the X‐chromosome. We present six males (aged 29 to 60 years), with proven XK mutations, to discuss the chorea associated with McLeod syndrome. The movement disorder commonly develops in the fifth decade and is progressive. It affects the limbs, the trunk and the face. In addition to facial grimacing, involuntary vocalization can be present. In early stages there may only be some restlessness or slight involuntary distal movements of ankles and fingers. Lip‐biting and facial tics seem more common in autosomal recessive choreoacanthocytosis linked to chromosome 9. This, together with the absence of dysphagia in McLeod syndrome, may help in differential diagnosis. Recent findings suggest a role for the endothelin system of the striatum in the pathogenesis of McLeod syndrome. © 2001 Movement Disorder Society.</abstract>
<note type="content">*A videotape accompanies this article.</note>
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<genre>Keywords</genre>
<topic>McLeod syndrome</topic>
<topic>chorea</topic>
<topic>X‐linked</topic>
<topic>neurogenetic disorder</topic>
<topic>acanthocytosis</topic>
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<identifier type="ISSN">0885-3185</identifier>
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