J Korean Child Neurol Soc.  2007 May;15(1):94-101.

3-year Follow-up of a Menkes Disease Patient

Affiliations
  • 1Department of Pediatrics, Kwangju Chistian Hospital, Gwangju, Korea. eykim_kook@yahoo.com
  • 2Department of Pediatrics, College of Medicine, Ulsan University, Asan Medical Center, Seoul, Korea.

Abstract

Menkes disease is a rare fatal X-linked recessive disorder characterized by a generalized defect in intracelluar copper transport. The clinical features which arise from copper deficiency include progressive neurologic deterioration, epilepsy, hair and connective tissue abnormalities. Menkes disease is caused by mutations in the gene encoding the Menkes protein(ATP7A, copper transporting P-type ATPase), which is located on the long arm 13 of the X-chromosome. ATP7A mutations are found in 60 to 70% of the patients. We have experienced a case of Menkes disease in a 6-month-old male who showed developmental delay, myoclonic seizures and kinky hair. The serum copper and ceruloplasmin levels were low and the missense mutation(c.3352G>A, resulting in p.G1118S) in exon 17 of ATP7A gene was found. During 3-year follow-up, he regressed developmentally and showed brain atrophy, multiple bladder deverticula, and bony deformities.

Keyword

Menkes disease; Copper; ATP7A mutations

MeSH Terms

Arm
Atrophy
Brain
Ceruloplasmin
Congenital Abnormalities
Connective Tissue
Copper
Epilepsy
Exons
Follow-Up Studies*
Hair
Humans
Infant
Male
Menkes Kinky Hair Syndrome*
Seizures
Urinary Bladder
Ceruloplasmin
Copper
Full Text Links
  • JKCNS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr