Parkin disease in a Brazilian kindred: Manifesting heterozygotes and clinical follow‐up over 10 years
Identifieur interne : 003805 ( Main/Exploration ); précédent : 003804; suivant : 003806Parkin disease in a Brazilian kindred: Manifesting heterozygotes and clinical follow‐up over 10 years
Auteurs : Naheed L. Khan [Royaume-Uni] ; Wagner Horta [Brésil] ; Louise Eunson [Royaume-Uni] ; Elizabeth Graham [Royaume-Uni] ; Janel O. Johnson [États-Unis] ; Shannon Chang [États-Unis] ; Mary Davis [Royaume-Uni] ; Andrew Singleton [États-Unis] ; Nicholas W. Wood [Royaume-Uni] ; Andrew Lees (neurologue) [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2005-04.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Brésil.
English descriptors
- KwdEn :
- Adult, Antiparkinson Agents (adverse effects), Brazil, Carrier, DNA Mutational Analysis, Dyskinesia, Drug-Induced (etiology), Dyskinesia, Drug-Induced (physiopathology), Exons (genetics), Female, Follow-Up Studies, Foot (physiopathology), Genotype, Heterozygote, Humans, Levodopa (adverse effects), Male, Nervous system diseases, Parkin, Parkinsonian Disorders (drug therapy), Parkinsonian Disorders (ethnology), Parkinsonian Disorders (genetics), Pedigree, Point Mutation (genetics), Ubiquitin-Protein Ligases (genetics), haploinsufficiency, isolated population, manifesting carriers.
- MESH :
- chemical , adverse effects : Antiparkinson Agents, Levodopa.
- chemical , genetics : Ubiquitin-Protein Ligases.
- geographic : Brazil.
- drug therapy : Parkinsonian Disorders.
- ethnology : Parkinsonian Disorders.
- etiology : Dyskinesia, Drug-Induced.
- genetics : Exons, Parkinsonian Disorders, Point Mutation.
- physiopathology : Dyskinesia, Drug-Induced, Foot.
- Adult, DNA Mutational Analysis, Female, Follow-Up Studies, Genotype, Heterozygote, Humans, Male, Pedigree.
Abstract
We report on a large Brazilian kindred with young‐onset parkinsonism due to either a homozygous or heterozygous mutation in parkin. A total of 6 members were affected: 5 were homozygous and 1 heterozygous for a deletion in exon 4. Two other heterozygotes also had extrapyramidal signs. All affected subjects showed characteristic features of parkin disease with foot dystonia and an excellent response to levodopa complicated by motor fluctuations and dyskinesia within 3 years of therapy. Careful clinical follow‐up over 10 years showed the phenotype was similar in all the homozygotes with asymmetrical limb bradykinesia and early walking difficulties. Some acceleration of disability was observed in some of the cases as they entered the third decade of illness, but dementia was absent. © 2005 Movement Disorder Society
Url:
DOI: 10.1002/mds.20335
Affiliations:
- Brésil, Royaume-Uni, États-Unis
- Angleterre, Grand Londres, Maryland
- Londres
- National Hospital for Neurology and Neurosurgery
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Le document en format XML
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<term>DNA Mutational Analysis</term>
<term>Dyskinesia, Drug-Induced (etiology)</term>
<term>Dyskinesia, Drug-Induced (physiopathology)</term>
<term>Exons (genetics)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Foot (physiopathology)</term>
<term>Genotype</term>
<term>Heterozygote</term>
<term>Humans</term>
<term>Levodopa (adverse effects)</term>
<term>Male</term>
<term>Nervous system diseases</term>
<term>Parkin</term>
<term>Parkinsonian Disorders (drug therapy)</term>
<term>Parkinsonian Disorders (ethnology)</term>
<term>Parkinsonian Disorders (genetics)</term>
<term>Pedigree</term>
<term>Point Mutation (genetics)</term>
<term>Ubiquitin-Protein Ligases (genetics)</term>
<term>haploinsufficiency</term>
<term>isolated population</term>
<term>manifesting carriers</term>
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<keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Parkinsonian Disorders</term>
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<term>Follow-Up Studies</term>
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<front><div type="abstract" xml:lang="en">We report on a large Brazilian kindred with young‐onset parkinsonism due to either a homozygous or heterozygous mutation in parkin. A total of 6 members were affected: 5 were homozygous and 1 heterozygous for a deletion in exon 4. Two other heterozygotes also had extrapyramidal signs. All affected subjects showed characteristic features of parkin disease with foot dystonia and an excellent response to levodopa complicated by motor fluctuations and dyskinesia within 3 years of therapy. Careful clinical follow‐up over 10 years showed the phenotype was similar in all the homozygotes with asymmetrical limb bradykinesia and early walking difficulties. Some acceleration of disability was observed in some of the cases as they entered the third decade of illness, but dementia was absent. © 2005 Movement Disorder Society</div>
</front>
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<name sortKey="Davis, Mary" sort="Davis, Mary" uniqKey="Davis M" first="Mary" last="Davis">Mary Davis</name>
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<name sortKey="Graham, Elizabeth" sort="Graham, Elizabeth" uniqKey="Graham E" first="Elizabeth" last="Graham">Elizabeth Graham</name>
<name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name>
<name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name>
<name sortKey="Wood, Nicholas W" sort="Wood, Nicholas W" uniqKey="Wood N" first="Nicholas W." last="Wood">Nicholas W. Wood</name>
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<name sortKey="Chang, Shannon" sort="Chang, Shannon" uniqKey="Chang S" first="Shannon" last="Chang">Shannon Chang</name>
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