Niemann‐Pick disease type C: Two cases and an update
Identifieur interne : 004A14 ( Main/Exploration ); précédent : 004A13; suivant : 004A15Niemann‐Pick disease type C: Two cases and an update
Auteurs : Ergun Y. Uc [États-Unis] ; David A. Wenger [États-Unis] ; Joseph Jankovic [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Adolescent, Adult, Age of Onset, Age of onset, Atypical, Case study, Cells, Cultured, Cerebellar ataxia, Cholesterol (metabolism), Diagnosis, Differential, Differential diagnostic, Disease Progression, Dystonia, Enzymopathy, Esterification, Female, Fibroblasts (metabolism), Humans, Juvenile character, Lipidosis, Male, Middle Aged, Niemann Pick disease, Niemann-Pick Diseases (diagnosis), Niemann-Pick Diseases (physiopathology), Niemann‐Pick disease, Phenotype, Polyneuropathy, Skin (pathology).
- MESH :
- chemical , metabolism : Cholesterol.
- diagnosis : Niemann-Pick Diseases.
- metabolism : Fibroblasts.
- pathology : Skin.
- physiopathology : Niemann-Pick Diseases.
- Adolescent, Age of Onset, Cells, Cultured, Diagnosis, Differential, Disease Progression, Esterification, Female, Humans, Male, Middle Aged.
Abstract
We describe two patients with juvenile‐onset Niemann‐Pick disease type C (NPC) to illustrate the variable neurologic features of this condition. One presented with hypersplenism at age 10 and was misdiagnosed with Gaucher disease. He developed complex partial seizures in his teens but remained otherwise neurologically asymptomatic until his mid 30s. At age 45, he had mild dementia and dysarthria, vertical supranuclear ophthalmoplegia, axonal sensorimotor polyneuropathy, and cerebellar ataxia. The second patient presented with rapidly progressive dystonia at age 8, and mild hepatosplenomegaly, vertical supranuclear ophthalmoplegia, severe behavioral disorder, and dementia by age 14. The diagnosis of NPC was based on deficient cholesterol esterification and excessive lysosomal filipin staining in cultured skin fibroblasts. Current notions about diagnosis and pathogenesis of NPC are reviewed.
Url:
DOI: 10.1002/1531-8257(200011)15:6<1199::AID-MDS1020>3.0.CO;2-1
Affiliations:
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Le document en format XML
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<term>Atypical</term>
<term>Case study</term>
<term>Cells, Cultured</term>
<term>Cerebellar ataxia</term>
<term>Cholesterol (metabolism)</term>
<term>Diagnosis, Differential</term>
<term>Differential diagnostic</term>
<term>Disease Progression</term>
<term>Dystonia</term>
<term>Enzymopathy</term>
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<term>Lipidosis</term>
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<term>Niemann-Pick Diseases (diagnosis)</term>
<term>Niemann-Pick Diseases (physiopathology)</term>
<term>Niemann‐Pick disease</term>
<term>Phenotype</term>
<term>Polyneuropathy</term>
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<term>Disease Progression</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Etude cas</term>
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<front><div type="abstract" xml:lang="en">We describe two patients with juvenile‐onset Niemann‐Pick disease type C (NPC) to illustrate the variable neurologic features of this condition. One presented with hypersplenism at age 10 and was misdiagnosed with Gaucher disease. He developed complex partial seizures in his teens but remained otherwise neurologically asymptomatic until his mid 30s. At age 45, he had mild dementia and dysarthria, vertical supranuclear ophthalmoplegia, axonal sensorimotor polyneuropathy, and cerebellar ataxia. The second patient presented with rapidly progressive dystonia at age 8, and mild hepatosplenomegaly, vertical supranuclear ophthalmoplegia, severe behavioral disorder, and dementia by age 14. The diagnosis of NPC was based on deficient cholesterol esterification and excessive lysosomal filipin staining in cultured skin fibroblasts. Current notions about diagnosis and pathogenesis of NPC are reviewed.</div>
</front>
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