Adult metachromatic leukodystrophy: case report

Metachromatic leukodystrophy (MLD) is a hereditary lysosomal storage disease inherited in an autosomal recessive pattern, which occurs across all age groups. Currently, several forms of the disease are established: late infantile (the most common), juvenile (early and late), and adult, which manifes...

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Main Authors: T. I. Prusova, P. A. Reznichenko, K. D. Yakovleva, D. V. Dmitrenko
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2021-04-01
Series:Неврология, нейропсихиатрия, психосоматика
Subjects:
Online Access:https://nnp.ima-press.net/nnp/article/view/1545
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author T. I. Prusova
P. A. Reznichenko
K. D. Yakovleva
D. V. Dmitrenko
author_facet T. I. Prusova
P. A. Reznichenko
K. D. Yakovleva
D. V. Dmitrenko
author_sort T. I. Prusova
collection DOAJ
description Metachromatic leukodystrophy (MLD) is a hereditary lysosomal storage disease inherited in an autosomal recessive pattern, which occurs across all age groups. Currently, several forms of the disease are established: late infantile (the most common), juvenile (early and late), and adult, which manifests after the age of 16 years. This case report demonstrates an adult MLD in a 24-year-old woman presented with cognitive impairment, including memory deficits, judgement, communication, and self-care skills decline. Magnetic resonance imaging findings revealed massive symmetrical  periventricular white matter lesions without signs of brainstem  involvement and increased lactate level. Whole exome sequencing  revealed two ARSA gene mutations. Clinical and genetic characteristics of the adult MLD and modern treatment approaches are discussed.
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spelling doaj.art-aa5d250bdd324e08a75f7613e05221c92023-03-13T08:42:21ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422021-04-01132869010.14412/2074-2711-2021-2-86-901116Adult metachromatic leukodystrophy: case reportT. I. Prusova0P. A. Reznichenko1K. D. Yakovleva2D. V. Dmitrenko3V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University, Ministry of Healthcare of the Russian FederationV.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University, Ministry of Healthcare of the Russian FederationV.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University, Ministry of Healthcare of the Russian FederationV.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University, Ministry of Healthcare of the Russian FederationMetachromatic leukodystrophy (MLD) is a hereditary lysosomal storage disease inherited in an autosomal recessive pattern, which occurs across all age groups. Currently, several forms of the disease are established: late infantile (the most common), juvenile (early and late), and adult, which manifests after the age of 16 years. This case report demonstrates an adult MLD in a 24-year-old woman presented with cognitive impairment, including memory deficits, judgement, communication, and self-care skills decline. Magnetic resonance imaging findings revealed massive symmetrical  periventricular white matter lesions without signs of brainstem  involvement and increased lactate level. Whole exome sequencing  revealed two ARSA gene mutations. Clinical and genetic characteristics of the adult MLD and modern treatment approaches are discussed.https://nnp.ima-press.net/nnp/article/view/1545metachromatic leukodystrophyadult formarylsulfatase acognitive impairmenthematopoietic stem cell transplantation
spellingShingle T. I. Prusova
P. A. Reznichenko
K. D. Yakovleva
D. V. Dmitrenko
Adult metachromatic leukodystrophy: case report
Неврология, нейропсихиатрия, психосоматика
metachromatic leukodystrophy
adult form
arylsulfatase a
cognitive impairment
hematopoietic stem cell transplantation
title Adult metachromatic leukodystrophy: case report
title_full Adult metachromatic leukodystrophy: case report
title_fullStr Adult metachromatic leukodystrophy: case report
title_full_unstemmed Adult metachromatic leukodystrophy: case report
title_short Adult metachromatic leukodystrophy: case report
title_sort adult metachromatic leukodystrophy case report
topic metachromatic leukodystrophy
adult form
arylsulfatase a
cognitive impairment
hematopoietic stem cell transplantation
url https://nnp.ima-press.net/nnp/article/view/1545
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AT pareznichenko adultmetachromaticleukodystrophycasereport
AT kdyakovleva adultmetachromaticleukodystrophycasereport
AT dvdmitrenko adultmetachromaticleukodystrophycasereport