A Case of Sporadic Amyotrophic Lateral Sclerosis Due to a FUS P525L Mutation with Asymmetric Muscle Weakness and Anti-ganglioside Antibodie
Amyotrophic lateral sclerosis (ALS) due to a fused in sarcoma (FUS) P525L mutation is characterized by a rapidly progressive course. Multifocal motor neuropathy (MMN) may resemble ALS in early stage and is associated with anti-ganglioside antibodies. A 38-year-old woman was admitted to our hospital...
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Veröffentlicht in: | Internal Medicine 2021, pp.6168-20 |
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creator | Tanemoto, Masanobu Hisahara, Shin Ikeda, Kazuna Yokokawa, Kazuki Manabe, Tatsuo Tsuda, Reiko Yamamoto, Daisuke Matsushita, Takashi Matsumura, Akihiro Suzuki, Syuuichirou Shimohama, Shun |
description | Amyotrophic lateral sclerosis (ALS) due to a fused in sarcoma (FUS) P525L mutation is characterized by a rapidly progressive course. Multifocal motor neuropathy (MMN) may resemble ALS in early stage and is associated with anti-ganglioside antibodies. A 38-year-old woman was admitted to our hospital because of progressive muscle weakness in the right limbs. She had mild mental retardation and minor deformities. Initially, we suspected MMN given the asymmetric muscle weakness and detection of anti-ganglioside antibodies. However, physical and electrophysiological tests did not support MMN, instead suggesting ALS. We confirmed a heterozygous P525L mutation and finally diagnosed this case as ALS due to an FUS mutation. |
doi_str_mv | 10.2169/internalmedicine.6168-20 |
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Multifocal motor neuropathy (MMN) may resemble ALS in early stage and is associated with anti-ganglioside antibodies. A 38-year-old woman was admitted to our hospital because of progressive muscle weakness in the right limbs. She had mild mental retardation and minor deformities. Initially, we suspected MMN given the asymmetric muscle weakness and detection of anti-ganglioside antibodies. However, physical and electrophysiological tests did not support MMN, instead suggesting ALS. 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Med.</addtitle><description>Amyotrophic lateral sclerosis (ALS) due to a fused in sarcoma (FUS) P525L mutation is characterized by a rapidly progressive course. Multifocal motor neuropathy (MMN) may resemble ALS in early stage and is associated with anti-ganglioside antibodies. A 38-year-old woman was admitted to our hospital because of progressive muscle weakness in the right limbs. She had mild mental retardation and minor deformities. Initially, we suspected MMN given the asymmetric muscle weakness and detection of anti-ganglioside antibodies. However, physical and electrophysiological tests did not support MMN, instead suggesting ALS. We confirmed a heterozygous P525L mutation and finally diagnosed this case as ALS due to an FUS mutation.</description><subject>amyotrophic lateral sclerosis</subject><subject>anti-ganglioside antibody</subject><subject>FUS</subject><subject>fused in sarcoma</subject><subject>P525L mutation</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpdUctu2zAQJIoUjeP0F4r9Abl8mJR0FJw4DWCjBVw3R2ElUjYdiTJIOoW_oT8dpmly6GV3MZiZxc4SAozOOFPlV-ui8Q77wWjbWmdmiqki4_QDmTAxL7OcC3lBJrRkCU3lklyFcKBUFHnJP5FLISQrpJIT8qeCBQYDYweb4-gx-UE1nMfox-M-zStMm7CHTdsbPwYb4OZkII6AsNxu4IfkcgXrU8RoRwe_bdxDFc7DYKJP6vUpJB08GHx0JgRAp6Fy0WY7dLveJj9t_gLNqK25Jh877IP5_K9PyXZ5-3PxLVt9v7tfVKvswCiXmZINN0LnWkneqK7QyNtOC9ZKRWXBUMlCM9U1tEPWzkuNAg0Kmjei4XmDpZiSL6--x1OTEqyP3g7oz_VbKonw65VwCBF35p2APtp0T_1__DXqp-RV07fh5R01p--Cdo--Nk48A-35izA</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Tanemoto, Masanobu</creator><creator>Hisahara, Shin</creator><creator>Ikeda, Kazuna</creator><creator>Yokokawa, Kazuki</creator><creator>Manabe, Tatsuo</creator><creator>Tsuda, Reiko</creator><creator>Yamamoto, Daisuke</creator><creator>Matsushita, Takashi</creator><creator>Matsumura, Akihiro</creator><creator>Suzuki, Syuuichirou</creator><creator>Shimohama, Shun</creator><general>The Japanese Society of Internal Medicine</general><scope>NPM</scope></search><sort><creationdate>20210201</creationdate><title>A Case of Sporadic Amyotrophic Lateral Sclerosis Due to a FUS P525L Mutation with Asymmetric Muscle Weakness and Anti-ganglioside Antibodie</title><author>Tanemoto, Masanobu ; Hisahara, Shin ; Ikeda, Kazuna ; Yokokawa, Kazuki ; Manabe, Tatsuo ; Tsuda, Reiko ; Yamamoto, Daisuke ; Matsushita, Takashi ; Matsumura, Akihiro ; Suzuki, Syuuichirou ; Shimohama, Shun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j1025-65b2e3d7d652b6f8da2cfd31c560581a658d16fb0fa1c49da3aea307b3b27ba93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>amyotrophic lateral sclerosis</topic><topic>anti-ganglioside antibody</topic><topic>FUS</topic><topic>fused in sarcoma</topic><topic>P525L mutation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanemoto, Masanobu</creatorcontrib><creatorcontrib>Hisahara, Shin</creatorcontrib><creatorcontrib>Ikeda, Kazuna</creatorcontrib><creatorcontrib>Yokokawa, Kazuki</creatorcontrib><creatorcontrib>Manabe, Tatsuo</creatorcontrib><creatorcontrib>Tsuda, Reiko</creatorcontrib><creatorcontrib>Yamamoto, Daisuke</creatorcontrib><creatorcontrib>Matsushita, Takashi</creatorcontrib><creatorcontrib>Matsumura, Akihiro</creatorcontrib><creatorcontrib>Suzuki, Syuuichirou</creatorcontrib><creatorcontrib>Shimohama, Shun</creatorcontrib><collection>PubMed</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanemoto, Masanobu</au><au>Hisahara, Shin</au><au>Ikeda, Kazuna</au><au>Yokokawa, Kazuki</au><au>Manabe, Tatsuo</au><au>Tsuda, Reiko</au><au>Yamamoto, Daisuke</au><au>Matsushita, Takashi</au><au>Matsumura, Akihiro</au><au>Suzuki, Syuuichirou</au><au>Shimohama, Shun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case of Sporadic Amyotrophic Lateral Sclerosis Due to a FUS P525L Mutation with Asymmetric Muscle Weakness and Anti-ganglioside Antibodie</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2021-02-01</date><risdate>2021</risdate><spage>6168-20</spage><pages>6168-20-</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>Amyotrophic lateral sclerosis (ALS) due to a fused in sarcoma (FUS) P525L mutation is characterized by a rapidly progressive course. Multifocal motor neuropathy (MMN) may resemble ALS in early stage and is associated with anti-ganglioside antibodies. A 38-year-old woman was admitted to our hospital because of progressive muscle weakness in the right limbs. She had mild mental retardation and minor deformities. Initially, we suspected MMN given the asymmetric muscle weakness and detection of anti-ganglioside antibodies. However, physical and electrophysiological tests did not support MMN, instead suggesting ALS. We confirmed a heterozygous P525L mutation and finally diagnosed this case as ALS due to an FUS mutation.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>33518565</pmid><doi>10.2169/internalmedicine.6168-20</doi><oa>free_for_read</oa></addata></record> |
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subjects | amyotrophic lateral sclerosis anti-ganglioside antibody FUS fused in sarcoma P525L mutation |
title | A Case of Sporadic Amyotrophic Lateral Sclerosis Due to a FUS P525L Mutation with Asymmetric Muscle Weakness and Anti-ganglioside Antibodie |
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