Case report: Chorea and cognitive decline in a young woman: instrumental and genetic assessment of a case originally diagnosed as multiple sclerosis

We describe the case of a young woman affected by debilitating chorea and rapidly progressive cognitive decline. While her original diagnosis was multiple sclerosis, we performed a full instrumental and genetic assessement, though which we identified multiple genetic variants, including a novel vari...

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Main Authors: Clemente Dato, Emanuele Micaglio, Giada Moresco, Ornella Rondinone, Paolo Vitali, Carlo Pappone, Laura Fontana, Monica Miozzo, Luciano Bet
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2023.1129289/full
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author Clemente Dato
Clemente Dato
Emanuele Micaglio
Giada Moresco
Ornella Rondinone
Paolo Vitali
Paolo Vitali
Carlo Pappone
Laura Fontana
Laura Fontana
Monica Miozzo
Monica Miozzo
Luciano Bet
author_facet Clemente Dato
Clemente Dato
Emanuele Micaglio
Giada Moresco
Ornella Rondinone
Paolo Vitali
Paolo Vitali
Carlo Pappone
Laura Fontana
Laura Fontana
Monica Miozzo
Monica Miozzo
Luciano Bet
author_sort Clemente Dato
collection DOAJ
description We describe the case of a young woman affected by debilitating chorea and rapidly progressive cognitive decline. While her original diagnosis was multiple sclerosis, we performed a full instrumental and genetic assessement, though which we identified multiple genetic variants, including a novel variant of the APP gene. We propose some possible mechanisms by which such variants may contribute to neuroinflammation and ultimately lead to this devastating clinical course.
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spelling doaj.art-48c7de3780d648d69e3a07cba74893722023-06-26T12:09:05ZengFrontiers Media S.A.Frontiers in Genetics1664-80212023-06-011410.3389/fgene.2023.11292891129289Case report: Chorea and cognitive decline in a young woman: instrumental and genetic assessment of a case originally diagnosed as multiple sclerosisClemente Dato0Clemente Dato1Emanuele Micaglio2Giada Moresco3Ornella Rondinone4Paolo Vitali5Paolo Vitali6Carlo Pappone7Laura Fontana8Laura Fontana9Monica Miozzo10Monica Miozzo11Luciano Bet12Unit of Neurology and Stroke Unit, IRCCS Policlinico San Donato, Milan, ItalyDepartment of Neurology, Azienda Ospedaliera di Melegnano e Della Martesana, Melegnano, ItalyDepartment of Arrhythmology, IRCCS Policlinico San Donato, Milan, ItalyMedical Genetics, Department of Health Sciences, Università Degli Studi di Milano, Milan, ItalyMedical Genetics, Department of Health Sciences, Università Degli Studi di Milano, Milan, ItalyDepartment of Biomedical Sciences for Health, University of Milan, Milan, ItalyUnit of Radiology, IRCCS Policlinico, San Donato, Milan, ItalyDepartment of Arrhythmology, IRCCS Policlinico San Donato, Milan, ItalyMedical Genetics, Department of Health Sciences, Università Degli Studi di Milano, Milan, ItalyMedical Genetics Unit, ASST Santi Paolo e Carlo, Milan, ItalyMedical Genetics, Department of Health Sciences, Università Degli Studi di Milano, Milan, ItalyMedical Genetics Unit, ASST Santi Paolo e Carlo, Milan, ItalyUnit of Neurology and Stroke Unit, IRCCS Policlinico San Donato, Milan, ItalyWe describe the case of a young woman affected by debilitating chorea and rapidly progressive cognitive decline. While her original diagnosis was multiple sclerosis, we performed a full instrumental and genetic assessement, though which we identified multiple genetic variants, including a novel variant of the APP gene. We propose some possible mechanisms by which such variants may contribute to neuroinflammation and ultimately lead to this devastating clinical course.https://www.frontiersin.org/articles/10.3389/fgene.2023.1129289/fullneuroinflammationcognitive declinechoreamultiple sclerosischorea (non-Huntington’s)
spellingShingle Clemente Dato
Clemente Dato
Emanuele Micaglio
Giada Moresco
Ornella Rondinone
Paolo Vitali
Paolo Vitali
Carlo Pappone
Laura Fontana
Laura Fontana
Monica Miozzo
Monica Miozzo
Luciano Bet
Case report: Chorea and cognitive decline in a young woman: instrumental and genetic assessment of a case originally diagnosed as multiple sclerosis
Frontiers in Genetics
neuroinflammation
cognitive decline
chorea
multiple sclerosis
chorea (non-Huntington’s)
title Case report: Chorea and cognitive decline in a young woman: instrumental and genetic assessment of a case originally diagnosed as multiple sclerosis
title_full Case report: Chorea and cognitive decline in a young woman: instrumental and genetic assessment of a case originally diagnosed as multiple sclerosis
title_fullStr Case report: Chorea and cognitive decline in a young woman: instrumental and genetic assessment of a case originally diagnosed as multiple sclerosis
title_full_unstemmed Case report: Chorea and cognitive decline in a young woman: instrumental and genetic assessment of a case originally diagnosed as multiple sclerosis
title_short Case report: Chorea and cognitive decline in a young woman: instrumental and genetic assessment of a case originally diagnosed as multiple sclerosis
title_sort case report chorea and cognitive decline in a young woman instrumental and genetic assessment of a case originally diagnosed as multiple sclerosis
topic neuroinflammation
cognitive decline
chorea
multiple sclerosis
chorea (non-Huntington’s)
url https://www.frontiersin.org/articles/10.3389/fgene.2023.1129289/full
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