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
Neurologyjournal_title
Neurologyauthors
Simon A,Kremer HP,Wevers RA,Scheffer H,De Jong JG,Van Der Meer JW,Drenth JPdoi
10.1212/01.wnl.0000115390.33405.f7subject
Has Abstractpub_date
2004-03-23 00:00:00pages
994-7issue
6eissn
0028-3878issn
1526-632Xjournal_volume
62pub_type
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