Articole semnate de acelasi autor in Revista Romana de Pediatrie:

Diagnosis difficulties in extrapyramidal syndrome in young children

Revista Romana de PEDIATRIE | Volumul LXI, Nr. 4, An 2012

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Ioana Minciu and George Moisa

ABSTRACT

Introduction. Lesch-Nyhan disease is a genetic disorder, X-linked recessive, of the purines metabolism, characterized by deficiency of hipoxanthine-guanine-phosphoribosyltransferase (HPRT- 1) which results in an increase of uric acid in both the blood and the urine. The gene is located on the chromosome X q26- q27.2.

Case presentation. It’s presented the case of a boy now 6 years old, with multiple admissions in Pediatric Neurology Clinic, “Al. Obregia” Hospital from the age of about 1 year for psychomotor developmental delay, movement disorders, initially diagnosed with cerebral palsy, then at the age of 3 years old, once the selfmutilation behavior and hyperuricaemia were noticed we suspected Lesch-Nyhan disease which was genetically confirmed at the age of 3 years and 6 months.

Conclusions. A clinical picture of spastic-dyskinetic “Cerebral Palsy” with normal cerebral MRI can underlay a metabolic disorder with genetic transmission and increased risk of recurrence.

Key words: extra-pyramidal syndrome, hyperuricaemia, HPRT gene

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Ioana Minciu

DIFICULTATI DE DIAGNOSTIC IN SINDROMUL EXTRAPIRAMIDAL LA COPILUL MIC

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Ioana Minciu and George Moisa

REZUMAT

Introducere. Boala Lesch Nyhan este o boală genetică, cu transmitere-X linkată recesivă, a metabolismului purinelor caracterizată prin deficitul de Hipoxantin-Guanin-Fosforiboziltransferază (HPRT) ce duce la hiperproducţie de acid uric. Gena este localizată pe cromozomul X q26-q27.2.

Prezentarea cazului. Se prezintă cazul unui copil de sex masculin HAV în prezent în vârstă de 6 ani, internat în Clinica Neurologie Pediatrică Spital „Al. Obregia“ în mod repetat de la vârsta de aproximativ 1 an pentru întârziere în dezvoltarea psihomotorie pe etape, tulburări de tonus şi mişcare care, iniţial, a fost diagnosticat ca paralizie cerebrală, pentru ca la 3 ani, odată cu apariţia automutilărilor şi a hiperuricemiei, să fie suspicionat ca Boală Lesch-Nyhan şi confirmat genetic la 3 ani şi 6 luni.

Concluzii. Un tablou clinic de „Paralizie cerebrală spastic-diskinetică“ cu IRM cerebral normal poate as cunde o boală metabolică cu transmitere genetică şi risc crescut de recurenţă.

Cuvinte cheie: sindrom extrapiramidal, hiperuricemie, gena HPRT

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Ioana Minciu