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Kumperscak, HG; Paschke, E; Gradisnik, P; Vidmar, J; Bradac, SU.
Adult metachromatic leukodystrophy: disorganized schizophrenia-like symptoms and postpartum depression in 2 sisters.
J Psychiatry Neurosci. 2005; 30(1):33-36
(- Case Report)
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- Co-Autor*innen der Med Uni Graz
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Paschke Eduard
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- Abstract:
- We describe the cases of 2 sisters with adult metachromatic leukodystrophy (MLD). Whereas one sister presented with disorganized schizophrenia-like symptoms as the initial manifestation of MLD, the other remained symptom free except for a 4-week period of postpartum depression. In both patients, there was some residual activity of leukocyte arylsulfatase A (1.7% and 5.5% of normal), and a marked increase in urinary sulfatides was present, as measured by tandem mass spectrometry. An arylsulfatase A pseudodeficiency was therefore excluded. The most common mutations of the adult phenotype, Ile-179-Ser and Pro-426-Leu, were not found. In the literature, only 1 case of adult MLD manifesting as disorganized schizophrenia-like symptoms has been described, whereas postpartum depression has been so far unknown as a presenting symptom of MLD.
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Adolescent -
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Adult -
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Cerebrospinal Fluid Proteins - analysis
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Depression, Postpartum - complications
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Female - complications
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Humans - complications
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Leukodystrophy, Metachromatic - cerebrospinal fluid
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Pregnancy - cerebrospinal fluid
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Schizophrenia, Disorganized - complications
- Find related publications in this database (Keywords)
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arylsulfatases
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depression
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postpartum
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leukodystrophy
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metachromatic
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schizophrenia
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disorganized