X-LINKED ADRENOLEUKODYSTROPHY IN BRAZIL: A CASE SERIES
ABSTRACT Objective: To describe patients with different phenotypes of X-linked adrenoleukodystrophy: pre-symptomatic, cerebral demyelinating inflammatory adrenoleukodystrophy, adrenomyeloneuropathy and adrenal insufficiency only. Methods: Specific data related to epidemiology, phenotype, diagnosis a...
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creator | Furlan, Fernanda Luiza Schumacher Macleise Andres Lemes Suguimatsu, Ligia Cecilia Fuverki Pires, Carolina Teixeira Furquim Santos, Mara Lucia Schmitz Ferreira |
description | ABSTRACT Objective: To describe patients with different phenotypes of X-linked adrenoleukodystrophy: pre-symptomatic, cerebral demyelinating inflammatory adrenoleukodystrophy, adrenomyeloneuropathy and adrenal insufficiency only. Methods: Specific data related to epidemiology, phenotype, diagnosis and treatment of 24 patients with X-linked adrenoleukodystrophy were collected. A qualitative cross-sectional and descriptive-exploratory analysis was performed using medical records from a reference center in Neuropediatrics in Curitiba, Brazil, as well as an electronic questionnaire. Results: The majority (79%) of patients had cerebral demyelinating inflammatory adrenoleukodystrophy, presenting aphasia, hyperactivity and vision disorders as the main initial symptoms. These symptoms appeared, on average, between six and seven years of age. There was a mean delay of 11 months between the onset of symptoms/signs and the diagnosis. Patients sought diagnosis mainly with neuropediatricians, and the main requested tests were dosage of very long chain fatty acids and brain magnetic resonance. Conclusions: All phenotypes of X-linked adrenoleukodystrophy, except for myelopathy in women, were presented in the studied population, which mainly consisted of children and adolescents. Prevalent signs and symptoms registered in the literature were observed. Most of the patients with cerebral demyelinating inflammatory adrenoleukodystrophy were not diagnosed in time for hematopoietic stem cell transplantation. |
doi_str_mv | 10.6084/m9.figshare.8324489 |
format | Dataset |
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Methods: Specific data related to epidemiology, phenotype, diagnosis and treatment of 24 patients with X-linked adrenoleukodystrophy were collected. A qualitative cross-sectional and descriptive-exploratory analysis was performed using medical records from a reference center in Neuropediatrics in Curitiba, Brazil, as well as an electronic questionnaire. Results: The majority (79%) of patients had cerebral demyelinating inflammatory adrenoleukodystrophy, presenting aphasia, hyperactivity and vision disorders as the main initial symptoms. These symptoms appeared, on average, between six and seven years of age. There was a mean delay of 11 months between the onset of symptoms/signs and the diagnosis. Patients sought diagnosis mainly with neuropediatricians, and the main requested tests were dosage of very long chain fatty acids and brain magnetic resonance. Conclusions: All phenotypes of X-linked adrenoleukodystrophy, except for myelopathy in women, were presented in the studied population, which mainly consisted of children and adolescents. Prevalent signs and symptoms registered in the literature were observed. Most of the patients with cerebral demyelinating inflammatory adrenoleukodystrophy were not diagnosed in time for hematopoietic stem cell transplantation.</description><identifier>DOI: 10.6084/m9.figshare.8324489</identifier><language>eng</language><publisher>SciELO journals</publisher><subject>FOS: Clinical medicine ; Paediatrics</subject><creationdate>2019</creationdate><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>776,1888</link.rule.ids><linktorsrc>$$Uhttps://commons.datacite.org/doi.org/10.6084/m9.figshare.8324489$$EView_record_in_DataCite.org$$FView_record_in_$$GDataCite.org$$Hfree_for_read</linktorsrc></links><search><creatorcontrib>Furlan, Fernanda Luiza Schumacher</creatorcontrib><creatorcontrib>Macleise Andres Lemes</creatorcontrib><creatorcontrib>Suguimatsu, Ligia Cecilia Fuverki</creatorcontrib><creatorcontrib>Pires, Carolina Teixeira Furquim</creatorcontrib><creatorcontrib>Santos, Mara Lucia Schmitz Ferreira</creatorcontrib><title>X-LINKED ADRENOLEUKODYSTROPHY IN BRAZIL: A CASE SERIES</title><description>ABSTRACT Objective: To describe patients with different phenotypes of X-linked adrenoleukodystrophy: pre-symptomatic, cerebral demyelinating inflammatory adrenoleukodystrophy, adrenomyeloneuropathy and adrenal insufficiency only. Methods: Specific data related to epidemiology, phenotype, diagnosis and treatment of 24 patients with X-linked adrenoleukodystrophy were collected. A qualitative cross-sectional and descriptive-exploratory analysis was performed using medical records from a reference center in Neuropediatrics in Curitiba, Brazil, as well as an electronic questionnaire. Results: The majority (79%) of patients had cerebral demyelinating inflammatory adrenoleukodystrophy, presenting aphasia, hyperactivity and vision disorders as the main initial symptoms. These symptoms appeared, on average, between six and seven years of age. There was a mean delay of 11 months between the onset of symptoms/signs and the diagnosis. Patients sought diagnosis mainly with neuropediatricians, and the main requested tests were dosage of very long chain fatty acids and brain magnetic resonance. Conclusions: All phenotypes of X-linked adrenoleukodystrophy, except for myelopathy in women, were presented in the studied population, which mainly consisted of children and adolescents. Prevalent signs and symptoms registered in the literature were observed. Most of the patients with cerebral demyelinating inflammatory adrenoleukodystrophy were not diagnosed in time for hematopoietic stem cell transplantation.</description><subject>FOS: Clinical medicine</subject><subject>Paediatrics</subject><fulltext>true</fulltext><rsrctype>dataset</rsrctype><creationdate>2019</creationdate><recordtype>dataset</recordtype><sourceid>PQ8</sourceid><recordid>eNo1z71OwzAABGAvDKjwBCx-gQQ7jh2bzSSGWrUSlKRSy2K5_oFIREJpF96eopbpltPpPgAeMMoZ4uXjLPI0fRw_3RJzToqy5OIWsF1mdLtRDZRNr9rOqO2ma_bD2Hdv6z3ULXzu5bs2T1DCWg4KDqrXargDN8l9HeP9NVdgfFFjvc5M96prabLAhcgiQxUJFY6c0ANjgh5o8MwJHD1L3sdziYsCkYLiVJ3_YB5Doj44xgIPmJAVIJfZ4E7OT6dov5dpdsuPxcj-oews7D_KXlHkF4vPQvs</recordid><startdate>20190626</startdate><enddate>20190626</enddate><creator>Furlan, Fernanda Luiza Schumacher</creator><creator>Macleise Andres Lemes</creator><creator>Suguimatsu, Ligia Cecilia Fuverki</creator><creator>Pires, Carolina Teixeira Furquim</creator><creator>Santos, Mara Lucia Schmitz Ferreira</creator><general>SciELO journals</general><scope>DYCCY</scope><scope>PQ8</scope></search><sort><creationdate>20190626</creationdate><title>X-LINKED ADRENOLEUKODYSTROPHY IN BRAZIL: A CASE SERIES</title><author>Furlan, Fernanda Luiza Schumacher ; Macleise Andres Lemes ; Suguimatsu, Ligia Cecilia Fuverki ; Pires, Carolina Teixeira Furquim ; Santos, Mara Lucia Schmitz Ferreira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-d899-e6073d71e835b6695b5dc6a91ec6fcced8989203251f744818edf5cda66d8d133</frbrgroupid><rsrctype>datasets</rsrctype><prefilter>datasets</prefilter><language>eng</language><creationdate>2019</creationdate><topic>FOS: Clinical medicine</topic><topic>Paediatrics</topic><toplevel>online_resources</toplevel><creatorcontrib>Furlan, Fernanda Luiza Schumacher</creatorcontrib><creatorcontrib>Macleise Andres Lemes</creatorcontrib><creatorcontrib>Suguimatsu, Ligia Cecilia Fuverki</creatorcontrib><creatorcontrib>Pires, Carolina Teixeira Furquim</creatorcontrib><creatorcontrib>Santos, Mara Lucia Schmitz Ferreira</creatorcontrib><collection>DataCite (Open Access)</collection><collection>DataCite</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Furlan, Fernanda Luiza Schumacher</au><au>Macleise Andres Lemes</au><au>Suguimatsu, Ligia Cecilia Fuverki</au><au>Pires, Carolina Teixeira Furquim</au><au>Santos, Mara Lucia Schmitz Ferreira</au><format>book</format><genre>unknown</genre><ristype>DATA</ristype><title>X-LINKED ADRENOLEUKODYSTROPHY IN BRAZIL: A CASE SERIES</title><date>2019-06-26</date><risdate>2019</risdate><abstract>ABSTRACT Objective: To describe patients with different phenotypes of X-linked adrenoleukodystrophy: pre-symptomatic, cerebral demyelinating inflammatory adrenoleukodystrophy, adrenomyeloneuropathy and adrenal insufficiency only. Methods: Specific data related to epidemiology, phenotype, diagnosis and treatment of 24 patients with X-linked adrenoleukodystrophy were collected. A qualitative cross-sectional and descriptive-exploratory analysis was performed using medical records from a reference center in Neuropediatrics in Curitiba, Brazil, as well as an electronic questionnaire. Results: The majority (79%) of patients had cerebral demyelinating inflammatory adrenoleukodystrophy, presenting aphasia, hyperactivity and vision disorders as the main initial symptoms. These symptoms appeared, on average, between six and seven years of age. There was a mean delay of 11 months between the onset of symptoms/signs and the diagnosis. Patients sought diagnosis mainly with neuropediatricians, and the main requested tests were dosage of very long chain fatty acids and brain magnetic resonance. Conclusions: All phenotypes of X-linked adrenoleukodystrophy, except for myelopathy in women, were presented in the studied population, which mainly consisted of children and adolescents. Prevalent signs and symptoms registered in the literature were observed. Most of the patients with cerebral demyelinating inflammatory adrenoleukodystrophy were not diagnosed in time for hematopoietic stem cell transplantation.</abstract><pub>SciELO journals</pub><doi>10.6084/m9.figshare.8324489</doi><oa>free_for_read</oa></addata></record> |
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subjects | FOS: Clinical medicine Paediatrics |
title | X-LINKED ADRENOLEUKODYSTROPHY IN BRAZIL: A CASE SERIES |
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