Early Onset of Fragile X Associated Tremor and Ataxia Syndrome: A Case Report from Iran

Authors

  • Afagh Hassanzadeh Rad Pediatric Diseases Research Center, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
  • Fatemeh Kharaee Pediatric Diseases Research Center, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
  • Mahsa Karambin Pediatric Diseases Research Center, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
  • Maryam Shahrokhi Department of Clinical Pharmacy, Faculty of Pharmacy, Guilan University of Medical Sciences, Rasht, Iran.
  • Reza Bayat Pediatric Diseases Research Center, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
  • Saber Najafi Chakoosari Student Research Committee, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
  • Setila Dalili Pediatric Diseases Research Center, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
  • Shahin Koohmanaee Pediatric Diseases Research Center, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Abstract:

Background: Different alleles of Fragile X Mental Retardation1 (FMR1) gene with separate molecular etiologies cause Fragile X Syndrome (FXS) and Fragile X-associated Tremor and Ataxia Syndrome (FXTAS). Premutation alleles with 55 to 200 repeats in the FMR1 gene lead to FXTAS. It is carried by 1 in 209 women and 1 in 430 men. FXTAS commonly appears in 50- to 70-year-old adults. Case Presentation: An 11 months old boy was referred to the hospital due to clinical presentations of productive cough seizure, mental disability, and ataxia. Magnetic Resonance Imaging (MRI), Electroencephalography (EEG), hematology, biochemistry, hormone, and genetic tests were done. Triplet repeat PCR (TP PCR) showed 99 CGG repeats as permutation alleles. Conclusion: In this study, the authors reported the early onset of FXTAS in an 11 months old boy for the first time.

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Journal title

volume 7  issue 3

pages  180- 183

publication date 2021-07

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