Niemann-Pick disease type C: a case series of Brazilian patients

The aim of the study was to analyze a series of Brazilian patients with Niemann-Pick disease type C (NP-C). Method Correlations between clinical findings, laboratory data, molecular findings and treatment response are presented. Result The sample consisted of 5 patients aged 8 to 26 years. Vertic...

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Main Authors: Paulo José Lorenzoni, Elaine Cardoso, Ana C. S. Crippa, Charles Marques Lourenço, Fernanda Timm Seabra Souza, Roberto Giugliani, Maria Luiza Saraiva-Pereira, Salmo Raskin, Isac Bruck, Cláudia S. K. Kay, Rosana H. Scola, Lineu C.Werneck, Hélio A. G. Teive
Format: Article
Language:English
Published: Thieme Revinter Publicações 2014-03-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000300214&lng=en&tlng=en
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author Paulo José Lorenzoni
Elaine Cardoso
Ana C. S. Crippa
Charles Marques Lourenço
Fernanda Timm Seabra Souza
Roberto Giugliani
Maria Luiza Saraiva-Pereira
Salmo Raskin
Isac Bruck
Cláudia S. K. Kay
Rosana H. Scola
Lineu C.Werneck
Hélio A. G. Teive
author_facet Paulo José Lorenzoni
Elaine Cardoso
Ana C. S. Crippa
Charles Marques Lourenço
Fernanda Timm Seabra Souza
Roberto Giugliani
Maria Luiza Saraiva-Pereira
Salmo Raskin
Isac Bruck
Cláudia S. K. Kay
Rosana H. Scola
Lineu C.Werneck
Hélio A. G. Teive
author_sort Paulo José Lorenzoni
collection DOAJ
description The aim of the study was to analyze a series of Brazilian patients with Niemann-Pick disease type C (NP-C). Method Correlations between clinical findings, laboratory data, molecular findings and treatment response are presented. Result The sample consisted of 5 patients aged 8 to 26 years. Vertical supranuclear gaze palsy, cerebellar ataxia, dementia, dystonia and dysarthria were present in all cases. Filipin staining showed the “classical” pattern in two patients and a “variant” pattern in three patients. Molecular analysis found mutations in the NPC1 gene in all alleles. Miglustat treatment was administered to 4 patients. Conclusion Although filipin staining should be used to confirm the diagnosis, bone marrow sea-blue histiocytes often help to diagnosis of NP-C. The p.P1007A mutation seems to be correlated with the “variant” pattern in filipin staining. Miglustat treatment response seems to be correlated with the age at disease onset and disability scale score at diagnosis.
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-a02badeda6ba48cc82dfe4d8ace2fc432025-08-20T03:18:55ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272014-03-0172321421810.1590/0004-282X20130249S0004-282X2014000300214Niemann-Pick disease type C: a case series of Brazilian patientsPaulo José LorenzoniElaine CardosoAna C. S. CrippaCharles Marques LourençoFernanda Timm Seabra SouzaRoberto GiuglianiMaria Luiza Saraiva-PereiraSalmo RaskinIsac BruckCláudia S. K. KayRosana H. ScolaLineu C.WerneckHélio A. G. TeiveThe aim of the study was to analyze a series of Brazilian patients with Niemann-Pick disease type C (NP-C). Method Correlations between clinical findings, laboratory data, molecular findings and treatment response are presented. Result The sample consisted of 5 patients aged 8 to 26 years. Vertical supranuclear gaze palsy, cerebellar ataxia, dementia, dystonia and dysarthria were present in all cases. Filipin staining showed the “classical” pattern in two patients and a “variant” pattern in three patients. Molecular analysis found mutations in the NPC1 gene in all alleles. Miglustat treatment was administered to 4 patients. Conclusion Although filipin staining should be used to confirm the diagnosis, bone marrow sea-blue histiocytes often help to diagnosis of NP-C. The p.P1007A mutation seems to be correlated with the “variant” pattern in filipin staining. Miglustat treatment response seems to be correlated with the age at disease onset and disability scale score at diagnosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000300214&lng=en&tlng=endoença de Niemann-Pick tipo Cmedula ósseacoloração de filipinagene NPC1miglustate
spellingShingle Paulo José Lorenzoni
Elaine Cardoso
Ana C. S. Crippa
Charles Marques Lourenço
Fernanda Timm Seabra Souza
Roberto Giugliani
Maria Luiza Saraiva-Pereira
Salmo Raskin
Isac Bruck
Cláudia S. K. Kay
Rosana H. Scola
Lineu C.Werneck
Hélio A. G. Teive
Niemann-Pick disease type C: a case series of Brazilian patients
Arquivos de Neuro-Psiquiatria
doença de Niemann-Pick tipo C
medula óssea
coloração de filipina
gene NPC1
miglustate
title Niemann-Pick disease type C: a case series of Brazilian patients
title_full Niemann-Pick disease type C: a case series of Brazilian patients
title_fullStr Niemann-Pick disease type C: a case series of Brazilian patients
title_full_unstemmed Niemann-Pick disease type C: a case series of Brazilian patients
title_short Niemann-Pick disease type C: a case series of Brazilian patients
title_sort niemann pick disease type c a case series of brazilian patients
topic doença de Niemann-Pick tipo C
medula óssea
coloração de filipina
gene NPC1
miglustate
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000300214&lng=en&tlng=en
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