Genetic heterogeneity and clinical variability in the Sanfilippo syndrome (types A, B, and C)

Clinical Genetics - Tập 20 Số 2 - Trang 152-160 - 1981
J. J. P. van de Kamp1, M. F. Niermeijer2, Kurt Von Figura3, M. A. H. Giesberts1
1Department of Pediatrics, University Hospital, Leiden
2Dept of Cell Biology and Genetics, Erasmus University, Rotterdam, The Netherlands
3Institute of Physiological Chemistry, University of Münster, Federal Republic of Germany

Tóm tắt

A study of 73 patients with the Sanfilippo syndrome (36 patients with Sanfilippo A disease, 23 with Sanfilippo B disease and 14 with Sanfilippo C disease) revealed both intertype and intratype variability. The course of the disease was relatively mild in Sanfilippo B disease and dementia was less severe. Type A showed earlier onset with more severe clinical manifestations and an earlier age at death. Sanfilippo C disease was slightly less severe than Sanfilippo A disease. The intratype variability may be explained in part by differences in genetic and environmental background. In Sanfilippo B disease, genetic heterogeneity is suggested by the observation of a more severe and a mild variant, and this variation may be due to the involvement of different allelic mutations. The intra‐familial variability of the different types was small, but in three families with Sanfilippo B disease intrafamilial variability was evident.

Từ khóa


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