Movement Disorders (revue)

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Chorea‐acanthocytosis: Report of two Brazilian cases

Identifieur interne : 001113 ( Istex/Corpus ); précédent : 001112; suivant : 001114

Chorea‐acanthocytosis: Report of two Brazilian cases

Auteurs : Guilherme Riccioppo Rodrigues ; Ruth H. Walker ; Benedikt Bader ; Adrian Danek ; Wilson Marques Jr ; Vitor Tumas

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RBID : ISTEX:2377C5BCD73CA1224CD138F2FC4B51E3151E81D6

English descriptors

Abstract

Chorea‐acanthocytosis (ChAc) is a neurodegenerative disorder characterized by chorea, neuropsychiatric disturbances and acanthocytosis, caused by mutations of VPS13A. This gene produces the protein chorein which is absent in patients with ChAc on Western blot assay. We report the first two Brazilian patients with ChAc confirmed by chorein detection. Patient 1 is a 36‐year‐old man with chorea, epilepsy, myopathy, and suicidal ideation. Patient 2 is a 60‐year‐old woman with a 30 year history of psychiatric disturbances, epilepsy, choreic movements, and myopathy. Both patients had acanthocytosis, elevated creatine kinase (CK), and absence of chorein on Western blot analysis. The presence of chorea and neuropsychiatric disturbances associated with elevated CK levels, epilepsy, hyporeflexia, and acanthocytosis suggests the diagnosis of ChAc. Chorein assay of peripheral blood confirms the diagnosis. © 2008 Movement Disorder Society

Url:
DOI: 10.1002/mds.22305

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ISTEX:2377C5BCD73CA1224CD138F2FC4B51E3151E81D6

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<p>Chorea‐acanthocytosis (ChAc) is a neurodegenerative disorder characterized by chorea, neuropsychiatric disturbances and acanthocytosis, caused by mutations of
<i>VPS13A</i>
. This gene produces the protein chorein which is absent in patients with ChAc on Western blot assay. We report the first two Brazilian patients with ChAc confirmed by chorein detection. Patient 1 is a 36‐year‐old man with chorea, epilepsy, myopathy, and suicidal ideation. Patient 2 is a 60‐year‐old woman with a 30 year history of psychiatric disturbances, epilepsy, choreic movements, and myopathy. Both patients had acanthocytosis, elevated creatine kinase (CK), and absence of chorein on Western blot analysis. The presence of chorea and neuropsychiatric disturbances associated with elevated CK levels, epilepsy, hyporeflexia, and acanthocytosis suggests the diagnosis of ChAc. Chorein assay of peripheral blood confirms the diagnosis. © 2008 Movement Disorder Society</p>
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<affiliation>Department of Neurology, Ribeirao Preto School of Medicine, Ribeirao Preto, Brazil</affiliation>
<description>Correspondence: Department of Neurology, Psychiatry and Medical Psychology, Ribeirão Preto School of Medicine, University of São Paulo, Campus Universitário, Bairro Monte Alegre, Ribeirão Preto, SP, Brazil–CEP: 14049‐900</description>
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<abstract lang="en">Chorea‐acanthocytosis (ChAc) is a neurodegenerative disorder characterized by chorea, neuropsychiatric disturbances and acanthocytosis, caused by mutations of VPS13A. This gene produces the protein chorein which is absent in patients with ChAc on Western blot assay. We report the first two Brazilian patients with ChAc confirmed by chorein detection. Patient 1 is a 36‐year‐old man with chorea, epilepsy, myopathy, and suicidal ideation. Patient 2 is a 60‐year‐old woman with a 30 year history of psychiatric disturbances, epilepsy, choreic movements, and myopathy. Both patients had acanthocytosis, elevated creatine kinase (CK), and absence of chorein on Western blot analysis. The presence of chorea and neuropsychiatric disturbances associated with elevated CK levels, epilepsy, hyporeflexia, and acanthocytosis suggests the diagnosis of ChAc. Chorein assay of peripheral blood confirms the diagnosis. © 2008 Movement Disorder Society</abstract>
<note type="content">*Potential conflict of interest: Nothing to report.</note>
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