Report of a family with Huntington's disease.

Ibrain Pub Date : 2022-06-17 eCollection Date: 2022-01-01 DOI:10.1002/ibra.12049
Zhong Luo, Jian Wang, Piao Cao, Lin-Hai Zhang, Ren-Fang Hao, Tao Liang
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Abstract

The aim of this article was to analyze the clinical and genetic characteristics of a patient with Huntington's disease and her family. We analyzed the clinical data of a patient with Huntington's disease and her family members in the Department of Neurology of our hospital, drew the genetic pedigree, and used gene fragment analysis to detect and analyze the genes of three people in the family according to the principle of informed consent. The genetic pedigree of the family was consistent with that of autosomal dominant diseases. A total of five people in this family developed the disease, two died, and the main clinical manifestations were dystonia, ataxia, and cognitive impairment. Three people in this family underwent genetic testing, and two exhibited normal genotypes. The cytosine-adenine-guanine trinucleotide (CAG) repeats of the proband were abnormally amplified, and the number of repeats reached 43. The main clinical features of the patient included chronic obscure onset, obvious positive family genetic history, clinical features of involuntary limb movement with cognitive impairment, rapid disease progression, poor treatment effect, and abnormal amplification of CAG repeats as shown through genetic testing. All the above features met the diagnostic criteria of Huntington's disease.

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一个亨廷顿舞蹈症家族的报告。
本文的目的是分析一名亨廷顿舞蹈症患者及其家人的临床和遗传特征。我们对我院神经内科一名亨廷顿舞蹈症患者及其家属的临床资料进行了分析,绘制了遗传谱系,并根据知情同意原则,采用基因片段分析法对该家族三人的基因进行了检测和分析。该家族的遗传谱系与常染色体显性遗传疾病的遗传谱系一致。该家族共有5人患病,2人死亡,主要临床表现为肌张力障碍、共济失调和认知障碍。这个家族中有三个人接受了基因检测,其中两个人表现出正常的基因型。先证者的胞嘧啶腺嘌呤-鸟嘌呤三核苷酸(CAG)重复序列异常扩增,重复次数达到43次。该患者的主要临床特征包括发病缓慢、家族遗传史明显阳性、肢体不自主运动伴认知障碍的临床特征、疾病进展快、治疗效果差,以及通过遗传测试显示的CAG重复序列的异常扩增。以上特征均符合亨廷顿舞蹈症的诊断标准。
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