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A Korean family with AGel amyloidosis presenting with progressive facial and bulbar palsies

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초록

AGel amyloidosis is an autosomal dominantly inherited disease caused by a GSN mutation, and affected patients typically present with the clinical triad of corneal lattice dystrophy, progressive cranial neuropathy, and cutis laxa. We report a Korean family with AGel amyloidosis with predominant manifestations of facial and bulbar muscle weakness. Whole-exome sequencing revealed a common missense mutation (p.Asp214Tyr) in GSN. This case strongly suggests that AGel amyloidosis should be considered when a patient presents with progressive facial and bulbar palsies.

Abstract

AGel amyloidosis is an autosomal dominantly inherited disease caused by a GSN mutation, and affected patients typically present with the clinical triad of corneal lattice dystrophy, progressive cranial neuropathy, and cutis laxa. We report a Korean family with AGel amyloidosis with predominant manifestations of facial and bulbar muscle weakness. Whole-exome sequencing revealed a common missense mutation (p.Asp214Tyr) in GSN. This case strongly suggests that AGel amyloidosis should be considered when a patient presents with progressive facial and bulbar palsies.

참고문헌 (8)

  1. Meretoja J., "Familial systemic paramyloidosis with lattice dystrophy of the cornea, progressive cranial neuropathy, skin changes and various internal symptoms. A previously unrecognized heritable syndrome", Ann Clin Res, 1, pp.314~324 (1969)
  2. Nikoskinen T, "Natural course of Finnish gelsolin amyloidosis", Ann Med, 47, pp.506~511 (2015)
  3. Maury CP, "Danish type gelsolin related amyloidosis : 654G-T mutation is associated with a disease pathogenetically and clinically similar to that caused by the 654G-A mutation(familial amyloidosis of the Finnish type)", J Clin Pathol, 53, pp.95~99 (2000)
  4. Solomon JP, "Gelsolin amyloidosis:genetics, biochemistry, pathology and possible strategies for therapeutic intervention", Crit Rev Biochem Mol Biol, 47, pp.282~296 (2012)
  5. Schmidt EK, "Finnish gelsolin amyloidosis causes significant disease burden but does not affect survival : FIN-GAR phase II study", Orphanet J Rare Dis, 15, pp.19~ (2020)
  6. Potrč M, "Clinical and histopathological features of gelsolin amyloidosis associated with a novel GSN variant p.Glu580Lys", Int J Mol Sci, 22, pp.1084~ (2021)
  7. 박경진, "The First Korean Family With Hereditary Gelsolin Amyloidosis Caused by p.D214Y Mutation in the GSN Gene", Annals of Laboratory Medicine, 36(3), pp.259~262 (2016), 대한진단검사의학회
  8. 정이내, "Clinical Features and Brain MRI Findings in Korean Patients with AGel Amyloidosis", Yonsei Medical Journal, 62(5), pp.431~438 (2021), 연세대학교의과대학[DOI]

관련 논문AI추천

The First Korean Family With Hereditary Gelsolin Amyloidosis Caused by p.D214Y Mutation in the GSN Gene김병준, 김종원, 박경진, 박종호, 박준희, 조은빈대한진단검사의학회 · Annals of Laboratory Medicine2016 · 제36권 제3호Clinical Features and Brain MRI Findings in Korean Patients with AGel Amyloidosis김현진, 박형준, 백우열, 심우현, 임영민, 정이내, 최영철연세대학교의과대학 · Yonsei Medical Journal2021 · 제62권 제5호Transthyretin 유전자돌연변이를 보인 가족성 아밀로이드 다발신경병증김성주, 김영진, 박종근, 오지영, 이준화, 임희진, 정일억, 황태숙대한신경과학회 · 대한신경과학회지2011 · 제29권 제3호Case Report : Non-Val30Met TTR Type Familial Amyloid Polyneuropathy With Asp38Ala Mutation나동욱, 박은숙, 박천웅, 조유나, 최자영대한근전도전기진단의학회 · 대한근전도 전기진단의학회지2016 · 제18권 제1호Characteristics of South Korean Patients with Hereditary Transthyretin Amyloidosis김남희, 김대성, 김병준, 민주홍, 석진명, 성정준, 신하영, 오지영, 이가현, 전은석, 최교민, 최영철, 선우일남대한신경과학회 · Journal of Clinical Neurology2018 · 제14권 제4호속발개방각녹내장과 유리체혼탁으로 발현된 가족성 아밀로이드 다발신경병증구형문, 김경남, 김창식, 박기섭, 이한민대한안과학회 · 대한안과학회지2020 · 제61권 제11호

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