Ann Neurol. 2001 Jul;50(1):108-12.

Late-onset metachromatic leukodystrophy clinically presenting as isolated peripheral neuropathy: compound heterozygosity for the IVS2+1G-->A mutation and a newly identified missense mutation (Thr408Ile) in a Spanish family.

Comabella M, Waye JS, Raguer N, Eng B, Domínguez C, Navarro C, Borrás C, Krivit W, Montalbán X.

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Department of Neurology, Hospital Universitari Vall d'Hebron, Barcelona, Spain. combell@hg.vhebron.es

Abstract

We report the case of a 50-year-old woman and her 32-year-old daughter, both of whom are affected with adult-onset metachromatic leukodystrophy (MLD) clinically presenting as peripheral neuropathy. Arylsulfatase A (ARSA) activities were markedly reduced, and electrophysiology showed a severe demyelinating neuropathy with features of chronic acquired demyelinating polyneuropathy. Molecular genetic studies of the family revealed that the proband and her affected daughter are compound heterozygotes for the common IVS2+ 1G-->A mutation and a newly identified missense mutation, Thr408Ile. This case indicates that adult metachromatic leukodystrophy should be considered in adult patients with demyelinating peripheral neuropathy of unknown etiology.

PMID:: 11456299; [PubMed - indexed for MEDLINE]

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Isolated peripheral neuropathy in atypical metachromatic leukodystrophy: a recurrent mutation. [Can J Neurol Sci. 2002]
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Late-onset metachromatic leukodystrophy clinically presenting as isolated peripheral neuropathy: compound heterozygosity for the IVS2+1G-->A mutation and a newly identified missense mutation (Thr408Ile) in a Spanish family.

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