A young woman with multiple acyl-CoA dehydrogenase deficiency (MADD)

نویسندگان

چکیده

A 31-year-old female hairdresser whose parents were first degree cousins complained of episodic attacks headache, vomiting, and dizziness for the past eight years after an uneventful childhood adolescence. Four ago, she developed progressive weakness, muscle pain difficulties walking lifting her arms that could not work in profession anymore. She lost hair, weight became amenorrhoic. Finally, weakness required intensive care. Early on CK was mildly elevated to 237 U/l (normal < 167), but later 900 1800. By MRI, skeletal muscles showed minimal contrast enhancement. The clinically suspected diagnosis myositis prompted repeated biopsies, which disclosed non-specific myopathic changes, scattered necrotic fibers without inflammation, protein aggregation, or vacuolation by light microscopy, abnormally structured mitochondria with inclusions electron treatment steroids any clinical improvement. panel 1131 mitochondrial genes revealed a homozygous mutation ETFDH gene. LEARNING OBJECTIVES This presentation will enable learner to: 1. Discuss MADD as lipid storage disease 2. Recognize myopathology

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ژورنال

عنوان ژورنال: Canadian Journal of Neurological Sciences

سال: 2021

ISSN: ['2057-0155', '0317-1671']

DOI: https://doi.org/10.1017/cjn.2021.94