3-Methylcrotonyl-CoA carboxylase deficiency and severe multiple sclerosis

3-Methylcrotonyl-CoA carboxylase deficiency and severe multiple sclerosis
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DOI:
10.1016/j.pediatrneurol.2006.09.007
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发表时间:
2007-02-01
影响因子:
3.8
通讯作者:
Holme, Elisabeth
Holme, Elisabeth
中科院分区:
医学3区
文献类型:
--
作者:
Darin, Niklas;Andersen, Oluf;Holme, Elisabeth

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This report describes a female with isolated 3-methylcrotonyl-CoA carboxylase deficiency. She had a mild Reye-like episode, loss of scalp hair, psychomotor retardation, and an attention-deficit hyperactivity disorder. The diagnosis was made at 13 years of age when she developed relapsing remitting multiple sclerosis with a malignant course. Treatment with steroids had initially a good therapeutic effect on the relapses. The response to interferon beta-la treatment was poor. On mitoxantrone treatment there was a considerable neurologic recovery. (c) 2007 by Elsevier Inc. All rights reserved.