Mevalonate kinase deficiency: Evidence for a phenotypic continuum.

Abstract:

:Both mevalonic aciduria, characterized by psychomotor retardation, cerebellar ataxia, recurrent fever attacks, and death in early childhood, and hyper-immunoglobulin D (hyper-IgD) syndrome, with recurrent fever attacks without neurologic symptoms, are caused by a functional deficiency of mevalonate kinase. In a systematic review of known mevalonate kinase-deficient patients, the authors identified five adults with phenotypic overlap between these two syndromes, which argues for a continuous spectrum of disease. Mevalonate kinase deficiency should be considered in adult patients with fitting neurologic symptoms, with or without periodic fever attacks.

journal_name

Neurology

journal_title

Neurology

authors

Simon A,Kremer HP,Wevers RA,Scheffer H,De Jong JG,Van Der Meer JW,Drenth JP

doi

10.1212/01.wnl.0000115390.33405.f7

subject

Has Abstract

pub_date

2004-03-23 00:00:00

pages

994-7

issue

6

eissn

0028-3878

issn

1526-632X

journal_volume

62

pub_type

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