Neuropathic Cystinosis: A Rare Case Report

Cystinosis is a lysosomal storage disease characterized by an intracellular accumulation of cystine in different organs and tissues, leading to potentially severe organ dysfunction. The neurological manifestations in cystinosis are generally late and non-dominant. In this report, we described a cas...

Full description

Saved in:
Bibliographic Details
Main Authors: Ahmed Muthana, Rabab Farhan Thejeal, Ikhlas Ali Ahmed
Format: Article
Language:English
Published: University of Baghdad/ Al-Kindy College of Medicine 2025-04-01
Series:مجله كليه طب الكندي
Subjects:
Online Access:https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/1248
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849738197956820992
author Ahmed Muthana
Rabab Farhan Thejeal
Ikhlas Ali Ahmed
author_facet Ahmed Muthana
Rabab Farhan Thejeal
Ikhlas Ali Ahmed
author_sort Ahmed Muthana
collection DOAJ
description Cystinosis is a lysosomal storage disease characterized by an intracellular accumulation of cystine in different organs and tissues, leading to potentially severe organ dysfunction. The neurological manifestations in cystinosis are generally late and non-dominant. In this report, we described a case of infantile cystinosis with dominant neurological manifestations at the presentation. A three-and-a-half-year-old male baby was presented to the pediatric teaching hospital with a history of poor growth and delayed milestones. The condition started at the age of six months, with abnormal growth and development. Family history was positive for mental retardation. The child had a few dysmorphic features such as frontal bossing and wrist widening. The renal function tests were abnormal. Brain magnetic resonance image (MRI) revealed changes in bilateral frontal primitive gyral pattern. Bone marrow aspiration and liver biopsy were both in favor of cystinosis. Slit-lamp examination of the eyes demonstrated crystalline crystals and keratinopathy. A genetic study identified a mutation in the CTNS gene, which was consistent with the autosomal recessive nephropathic cystinosis.  In conclusion, neurological manifestations could be one of the earlier presentations of infantile cystinosis.
format Article
id doaj-art-d7044a326f75465ca06d583b1b769e11
institution DOAJ
issn 1810-9543
2521-4365
language English
publishDate 2025-04-01
publisher University of Baghdad/ Al-Kindy College of Medicine
record_format Article
series مجله كليه طب الكندي
spelling doaj-art-d7044a326f75465ca06d583b1b769e112025-08-20T03:06:41ZengUniversity of Baghdad/ Al-Kindy College of Medicineمجله كليه طب الكندي1810-95432521-43652025-04-0121110.47723/1nq280701174Neuropathic Cystinosis: A Rare Case ReportAhmed Muthana0https://orcid.org/0009-0009-9877-4189Rabab Farhan Thejeal1Ikhlas Ali Ahmed2College of Medicine, University of Baghdad, Baghdad, IraqDepartment of Pediatrics, College of Medicine, University of Baghdad, Baghdad, Iraq Central Child Teaching Hospital, Baghdad, Iraq Cystinosis is a lysosomal storage disease characterized by an intracellular accumulation of cystine in different organs and tissues, leading to potentially severe organ dysfunction. The neurological manifestations in cystinosis are generally late and non-dominant. In this report, we described a case of infantile cystinosis with dominant neurological manifestations at the presentation. A three-and-a-half-year-old male baby was presented to the pediatric teaching hospital with a history of poor growth and delayed milestones. The condition started at the age of six months, with abnormal growth and development. Family history was positive for mental retardation. The child had a few dysmorphic features such as frontal bossing and wrist widening. The renal function tests were abnormal. Brain magnetic resonance image (MRI) revealed changes in bilateral frontal primitive gyral pattern. Bone marrow aspiration and liver biopsy were both in favor of cystinosis. Slit-lamp examination of the eyes demonstrated crystalline crystals and keratinopathy. A genetic study identified a mutation in the CTNS gene, which was consistent with the autosomal recessive nephropathic cystinosis.  In conclusion, neurological manifestations could be one of the earlier presentations of infantile cystinosis. https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/1248CystinosisNephropathicCentral nervous system
spellingShingle Ahmed Muthana
Rabab Farhan Thejeal
Ikhlas Ali Ahmed
Neuropathic Cystinosis: A Rare Case Report
مجله كليه طب الكندي
Cystinosis
Nephropathic
Central nervous system
title Neuropathic Cystinosis: A Rare Case Report
title_full Neuropathic Cystinosis: A Rare Case Report
title_fullStr Neuropathic Cystinosis: A Rare Case Report
title_full_unstemmed Neuropathic Cystinosis: A Rare Case Report
title_short Neuropathic Cystinosis: A Rare Case Report
title_sort neuropathic cystinosis a rare case report
topic Cystinosis
Nephropathic
Central nervous system
url https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/1248
work_keys_str_mv AT ahmedmuthana neuropathiccystinosisararecasereport
AT rababfarhanthejeal neuropathiccystinosisararecasereport
AT ikhlasaliahmed neuropathiccystinosisararecasereport