A progressive, fatal dystonia‐Parkinsonism syndrome in a patient with primary immunodeficiency receiving chronic IVIG therapy
Identifieur interne : 003F73 ( Main/Merge ); précédent : 003F72; suivant : 003F74A progressive, fatal dystonia‐Parkinsonism syndrome in a patient with primary immunodeficiency receiving chronic IVIG therapy
Auteurs : Spiridon Papapetropoulos [États-Unis] ; Jennifer Friedman [États-Unis] ; Craig Blackstone [États-Unis] ; Gary I. Kleiner [États-Unis] ; Brian C. Bowen [États-Unis] ; Carlos Singer [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-08-15.
English descriptors
- KwdEn :
- Adolescent, Brain (pathology), Dystonic Disorders (complications), Dystonic Disorders (drug therapy), Dystonic Disorders (pathology), Humans, IVIG, Immunoglobulins, Intravenous (therapeutic use), Immunologic Factors (therapeutic use), Magnetic Resonance Imaging (methods), Male, Parkinsonian Disorders (complications), Parkinsonian Disorders (drug therapy), Parkinsonian Disorders (pathology), X-Linked Combined Immunodeficiency Diseases (complications), X-Linked Combined Immunodeficiency Diseases (drug therapy), X-Linked Combined Immunodeficiency Diseases (pathology), X‐linked agammaglobulinemia, dystonia, extrapyramidal syndrome.
- MESH :
- chemical , therapeutic use : Immunoglobulins, Intravenous, Immunologic Factors.
- complications : Dystonic Disorders, Parkinsonian Disorders, X-Linked Combined Immunodeficiency Diseases.
- drug therapy : Dystonic Disorders, Parkinsonian Disorders, X-Linked Combined Immunodeficiency Diseases.
- methods : Magnetic Resonance Imaging.
- pathology : Brain, Dystonic Disorders, Parkinsonian Disorders, X-Linked Combined Immunodeficiency Diseases.
- Adolescent, Humans, Male.
Abstract
X‐linked agammaglobulinemia (XLA) is a primary immunodeficiency disorder caused by a mutation in the Bruton agammaglobulinemia tyrosine kinase gene that results in severe B‐cell deficiency. So far, neurological complications of XLA have been primarily related to acute and/or chronic central nervous system enteroviral infections. In the last few years a progressive neurodegenerative syndrome of unknown etiology has been described in XLA patients. We describe and present a video of an XLA patient who developed a fatal dementing, dystonia‐Parkinsonism syndrome 14 years into his immune disorder. Physician awareness of this rare syndrome may lead to its better characterization and management. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21631
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<front><div type="abstract" xml:lang="en">X‐linked agammaglobulinemia (XLA) is a primary immunodeficiency disorder caused by a mutation in the Bruton agammaglobulinemia tyrosine kinase gene that results in severe B‐cell deficiency. So far, neurological complications of XLA have been primarily related to acute and/or chronic central nervous system enteroviral infections. In the last few years a progressive neurodegenerative syndrome of unknown etiology has been described in XLA patients. We describe and present a video of an XLA patient who developed a fatal dementing, dystonia‐Parkinsonism syndrome 14 years into his immune disorder. Physician awareness of this rare syndrome may lead to its better characterization and management. © 2007 Movement Disorder Society</div>
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<term>Immunoglobulins, Intravenous (therapeutic use)</term>
<term>Immunologic Factors (therapeutic use)</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Male</term>
<term>Parkinsonian Disorders (complications)</term>
<term>Parkinsonian Disorders (drug therapy)</term>
<term>Parkinsonian Disorders (pathology)</term>
<term>X-Linked Combined Immunodeficiency Diseases (complications)</term>
<term>X-Linked Combined Immunodeficiency Diseases (drug therapy)</term>
<term>X-Linked Combined Immunodeficiency Diseases (pathology)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Immunoglobulins, Intravenous</term>
<term>Immunologic Factors</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Dystonic Disorders</term>
<term>Parkinsonian Disorders</term>
<term>X-Linked Combined Immunodeficiency Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Dystonic Disorders</term>
<term>Parkinsonian Disorders</term>
<term>X-Linked Combined Immunodeficiency Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Magnetic Resonance Imaging</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term>
<term>Dystonic Disorders</term>
<term>Parkinsonian Disorders</term>
<term>X-Linked Combined Immunodeficiency Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Humans</term>
<term>Male</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">X-linked agammaglobulinemia (XLA) is a primary immunodeficiency disorder caused by a mutation in the Bruton agammaglobulinemia tyrosine kinase gene that results in severe B-cell deficiency. So far, neurological complications of XLA have been primarily related to acute and/or chronic central nervous system enteroviral infections. In the last few years a progressive neurodegenerative syndrome of unknown etiology has been described in XLA patients. We describe and present a video of an XLA patient who developed a fatal dementing, dystonia-Parkinsonism syndrome 14 years into his immune disorder. Physician awareness of this rare syndrome may lead to its better characterization and management.</div>
</front>
</TEI>
</PubMed>
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