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Archives of Disease in Childhood 2006;91(Supplement 1):A89-A91
Copyright © 2006 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health

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Inherited metabolic disease

The first 150 words of the full text of this article appear below.


G252 COPPER HISTIDINE TREATMENT IN MENKES DISEASE
C. Durand1, P. W. Pairaudeau2, J. H. Walter1.1Willink Biochemical Genetics Unit, Royal Manchester Children’s Hospital, Manchester, UK; 2Women’s and Children’s Hospital, Hull Royal Infirmary, Hull, UK

Menkes disease is an X linked recessive disorder characterised by low copper levels in serum, brain and liver. Most patients with the disease have severe neurological degeneration, seizures and developmental delay. They show characteristic features of loose skin, "kinky" brittle hair, bladder diverticulae, inguinal hernias, hyper-extensive joints, and skeletal abnormalities. There is clinical variability within the disease but most patients suffer with the severe form and die before the age of 3 years. There is some evidence that early treatment with copper histidine can improve outcome in these patients.

Here we present a patient with a severe mutation (2213 g>t) in the Cu++ transporting ATPase gene, who because of a family history of classic Menkes disease, had an antenatal diagnosis, . . . [Full text of this article]







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