Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient

Abstract Tyrosine hydroxylase deficiency is a rare autosomal recessive, treatable disorder of neurotransmission. Fewer than 100 cases have been reported so far. We present a case of a 10‐month‐old infant who was symptomatic since 5 months of age and who received an initial diagnosis of infantile tre...
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Autor*in:	Sunita Bijarnia‐Mahay [verfasserIn] Vivek Jain [verfasserIn] Beat Thöny [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	hypokinesia infantile parkinsonism oculogyria tremor tyrosine hydroxylase deficiency

Übergeordnetes Werk:	In: JIMD Reports - Wiley, 2019, 53(2020), 1, Seite 12-15
Übergeordnetes Werk:	volume:53 ; year:2020 ; number:1 ; pages:12-15

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1002/jmd2.12111

Katalog-ID:	DOAJ068176805

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520			\|a Abstract Tyrosine hydroxylase deficiency is a rare autosomal recessive, treatable disorder of neurotransmission. Fewer than 100 cases have been reported so far. We present a case of a 10‐month‐old infant who was symptomatic since 5 months of age and who received an initial diagnosis of infantile tremor syndrome. She presented with rest tremor, decreased facial expression, global hypokinesia, and later on with oculogyric crisis and dystonia. This diagnosis was revised after confirmation of tyrosine hydroxylase deficiency by CSF neurotransmitter analysis. Genetic studies revealed one previously reported missense variant, p.Thr399Met, and another large deletion starting upstream of exon 1 and encompassing exon 1. She was started on treatment with escalating doses of L‐Dopa/Carbidopa, with folinic acid supplementation. At 3.5 years of age, her cognitive functioning and development is appropriate for age. There is complete subsidence of dystonia and oculogyric episodes. She has occasional chorieform movements which appear to be drug related.
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allfields	10.1002/jmd2.12111 doi (DE-627)DOAJ068176805 (DE-599)DOAJ82868084e2f44a63a8950188325d5bc4 DE-627 ger DE-627 rakwb eng RC648-665 QH426-470 Sunita Bijarnia‐Mahay verfasserin aut Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Tyrosine hydroxylase deficiency is a rare autosomal recessive, treatable disorder of neurotransmission. Fewer than 100 cases have been reported so far. We present a case of a 10‐month‐old infant who was symptomatic since 5 months of age and who received an initial diagnosis of infantile tremor syndrome. She presented with rest tremor, decreased facial expression, global hypokinesia, and later on with oculogyric crisis and dystonia. This diagnosis was revised after confirmation of tyrosine hydroxylase deficiency by CSF neurotransmitter analysis. Genetic studies revealed one previously reported missense variant, p.Thr399Met, and another large deletion starting upstream of exon 1 and encompassing exon 1. She was started on treatment with escalating doses of L‐Dopa/Carbidopa, with folinic acid supplementation. At 3.5 years of age, her cognitive functioning and development is appropriate for age. There is complete subsidence of dystonia and oculogyric episodes. She has occasional chorieform movements which appear to be drug related. hypokinesia infantile parkinsonism oculogyria tremor tyrosine hydroxylase deficiency Diseases of the endocrine glands. Clinical endocrinology Genetics Vivek Jain verfasserin aut Beat Thöny verfasserin aut In JIMD Reports Wiley, 2019 53(2020), 1, Seite 12-15 (DE-627)719754178 (DE-600)2672872-2 21928312 nnns volume:53 year:2020 number:1 pages:12-15 https://doi.org/10.1002/jmd2.12111 kostenfrei https://doaj.org/article/82868084e2f44a63a8950188325d5bc4 kostenfrei https://doi.org/10.1002/jmd2.12111 kostenfrei https://doaj.org/toc/2192-8312 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 53 2020 1 12-15
spelling	10.1002/jmd2.12111 doi (DE-627)DOAJ068176805 (DE-599)DOAJ82868084e2f44a63a8950188325d5bc4 DE-627 ger DE-627 rakwb eng RC648-665 QH426-470 Sunita Bijarnia‐Mahay verfasserin aut Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Tyrosine hydroxylase deficiency is a rare autosomal recessive, treatable disorder of neurotransmission. Fewer than 100 cases have been reported so far. We present a case of a 10‐month‐old infant who was symptomatic since 5 months of age and who received an initial diagnosis of infantile tremor syndrome. She presented with rest tremor, decreased facial expression, global hypokinesia, and later on with oculogyric crisis and dystonia. This diagnosis was revised after confirmation of tyrosine hydroxylase deficiency by CSF neurotransmitter analysis. Genetic studies revealed one previously reported missense variant, p.Thr399Met, and another large deletion starting upstream of exon 1 and encompassing exon 1. She was started on treatment with escalating doses of L‐Dopa/Carbidopa, with folinic acid supplementation. At 3.5 years of age, her cognitive functioning and development is appropriate for age. There is complete subsidence of dystonia and oculogyric episodes. She has occasional chorieform movements which appear to be drug related. hypokinesia infantile parkinsonism oculogyria tremor tyrosine hydroxylase deficiency Diseases of the endocrine glands. Clinical endocrinology Genetics Vivek Jain verfasserin aut Beat Thöny verfasserin aut In JIMD Reports Wiley, 2019 53(2020), 1, Seite 12-15 (DE-627)719754178 (DE-600)2672872-2 21928312 nnns volume:53 year:2020 number:1 pages:12-15 https://doi.org/10.1002/jmd2.12111 kostenfrei https://doaj.org/article/82868084e2f44a63a8950188325d5bc4 kostenfrei https://doi.org/10.1002/jmd2.12111 kostenfrei https://doaj.org/toc/2192-8312 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 53 2020 1 12-15
allfields_unstemmed	10.1002/jmd2.12111 doi (DE-627)DOAJ068176805 (DE-599)DOAJ82868084e2f44a63a8950188325d5bc4 DE-627 ger DE-627 rakwb eng RC648-665 QH426-470 Sunita Bijarnia‐Mahay verfasserin aut Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Tyrosine hydroxylase deficiency is a rare autosomal recessive, treatable disorder of neurotransmission. Fewer than 100 cases have been reported so far. We present a case of a 10‐month‐old infant who was symptomatic since 5 months of age and who received an initial diagnosis of infantile tremor syndrome. She presented with rest tremor, decreased facial expression, global hypokinesia, and later on with oculogyric crisis and dystonia. This diagnosis was revised after confirmation of tyrosine hydroxylase deficiency by CSF neurotransmitter analysis. Genetic studies revealed one previously reported missense variant, p.Thr399Met, and another large deletion starting upstream of exon 1 and encompassing exon 1. She was started on treatment with escalating doses of L‐Dopa/Carbidopa, with folinic acid supplementation. At 3.5 years of age, her cognitive functioning and development is appropriate for age. There is complete subsidence of dystonia and oculogyric episodes. She has occasional chorieform movements which appear to be drug related. hypokinesia infantile parkinsonism oculogyria tremor tyrosine hydroxylase deficiency Diseases of the endocrine glands. Clinical endocrinology Genetics Vivek Jain verfasserin aut Beat Thöny verfasserin aut In JIMD Reports Wiley, 2019 53(2020), 1, Seite 12-15 (DE-627)719754178 (DE-600)2672872-2 21928312 nnns volume:53 year:2020 number:1 pages:12-15 https://doi.org/10.1002/jmd2.12111 kostenfrei https://doaj.org/article/82868084e2f44a63a8950188325d5bc4 kostenfrei https://doi.org/10.1002/jmd2.12111 kostenfrei https://doaj.org/toc/2192-8312 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 53 2020 1 12-15
allfieldsGer	10.1002/jmd2.12111 doi (DE-627)DOAJ068176805 (DE-599)DOAJ82868084e2f44a63a8950188325d5bc4 DE-627 ger DE-627 rakwb eng RC648-665 QH426-470 Sunita Bijarnia‐Mahay verfasserin aut Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Tyrosine hydroxylase deficiency is a rare autosomal recessive, treatable disorder of neurotransmission. Fewer than 100 cases have been reported so far. We present a case of a 10‐month‐old infant who was symptomatic since 5 months of age and who received an initial diagnosis of infantile tremor syndrome. She presented with rest tremor, decreased facial expression, global hypokinesia, and later on with oculogyric crisis and dystonia. This diagnosis was revised after confirmation of tyrosine hydroxylase deficiency by CSF neurotransmitter analysis. Genetic studies revealed one previously reported missense variant, p.Thr399Met, and another large deletion starting upstream of exon 1 and encompassing exon 1. She was started on treatment with escalating doses of L‐Dopa/Carbidopa, with folinic acid supplementation. At 3.5 years of age, her cognitive functioning and development is appropriate for age. There is complete subsidence of dystonia and oculogyric episodes. She has occasional chorieform movements which appear to be drug related. hypokinesia infantile parkinsonism oculogyria tremor tyrosine hydroxylase deficiency Diseases of the endocrine glands. Clinical endocrinology Genetics Vivek Jain verfasserin aut Beat Thöny verfasserin aut In JIMD Reports Wiley, 2019 53(2020), 1, Seite 12-15 (DE-627)719754178 (DE-600)2672872-2 21928312 nnns volume:53 year:2020 number:1 pages:12-15 https://doi.org/10.1002/jmd2.12111 kostenfrei https://doaj.org/article/82868084e2f44a63a8950188325d5bc4 kostenfrei https://doi.org/10.1002/jmd2.12111 kostenfrei https://doaj.org/toc/2192-8312 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 53 2020 1 12-15
allfieldsSound	10.1002/jmd2.12111 doi (DE-627)DOAJ068176805 (DE-599)DOAJ82868084e2f44a63a8950188325d5bc4 DE-627 ger DE-627 rakwb eng RC648-665 QH426-470 Sunita Bijarnia‐Mahay verfasserin aut Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Tyrosine hydroxylase deficiency is a rare autosomal recessive, treatable disorder of neurotransmission. Fewer than 100 cases have been reported so far. We present a case of a 10‐month‐old infant who was symptomatic since 5 months of age and who received an initial diagnosis of infantile tremor syndrome. She presented with rest tremor, decreased facial expression, global hypokinesia, and later on with oculogyric crisis and dystonia. This diagnosis was revised after confirmation of tyrosine hydroxylase deficiency by CSF neurotransmitter analysis. Genetic studies revealed one previously reported missense variant, p.Thr399Met, and another large deletion starting upstream of exon 1 and encompassing exon 1. She was started on treatment with escalating doses of L‐Dopa/Carbidopa, with folinic acid supplementation. At 3.5 years of age, her cognitive functioning and development is appropriate for age. There is complete subsidence of dystonia and oculogyric episodes. She has occasional chorieform movements which appear to be drug related. hypokinesia infantile parkinsonism oculogyria tremor tyrosine hydroxylase deficiency Diseases of the endocrine glands. Clinical endocrinology Genetics Vivek Jain verfasserin aut Beat Thöny verfasserin aut In JIMD Reports Wiley, 2019 53(2020), 1, Seite 12-15 (DE-627)719754178 (DE-600)2672872-2 21928312 nnns volume:53 year:2020 number:1 pages:12-15 https://doi.org/10.1002/jmd2.12111 kostenfrei https://doaj.org/article/82868084e2f44a63a8950188325d5bc4 kostenfrei https://doi.org/10.1002/jmd2.12111 kostenfrei https://doaj.org/toc/2192-8312 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 53 2020 1 12-15
language	English
source	In JIMD Reports 53(2020), 1, Seite 12-15 volume:53 year:2020 number:1 pages:12-15
sourceStr	In JIMD Reports 53(2020), 1, Seite 12-15 volume:53 year:2020 number:1 pages:12-15
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	hypokinesia infantile parkinsonism oculogyria tremor tyrosine hydroxylase deficiency Diseases of the endocrine glands. Clinical endocrinology Genetics
isfreeaccess_bool	true
container_title	JIMD Reports
authorswithroles_txt_mv	Sunita Bijarnia‐Mahay @@aut@@ Vivek Jain @@aut@@ Beat Thöny @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	719754178
id	DOAJ068176805
language_de	englisch
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callnumber-first	R - Medicine
author	Sunita Bijarnia‐Mahay
spellingShingle	Sunita Bijarnia‐Mahay misc RC648-665 misc QH426-470 misc hypokinesia misc infantile parkinsonism misc oculogyria misc tremor misc tyrosine hydroxylase deficiency misc Diseases of the endocrine glands. Clinical endocrinology misc Genetics Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient
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topic_title	RC648-665 QH426-470 Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient hypokinesia infantile parkinsonism oculogyria tremor tyrosine hydroxylase deficiency
topic	misc RC648-665 misc QH426-470 misc hypokinesia misc infantile parkinsonism misc oculogyria misc tremor misc tyrosine hydroxylase deficiency misc Diseases of the endocrine glands. Clinical endocrinology misc Genetics
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title	Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient
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title_full	Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient
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author_browse	Sunita Bijarnia‐Mahay Vivek Jain Beat Thöny
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title_sort	tyrosine hydroxylase deficiency—clinical insights and a novel deletion in th gene in an indian patient
callnumber	RC648-665
title_auth	Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient
abstract	Abstract Tyrosine hydroxylase deficiency is a rare autosomal recessive, treatable disorder of neurotransmission. Fewer than 100 cases have been reported so far. We present a case of a 10‐month‐old infant who was symptomatic since 5 months of age and who received an initial diagnosis of infantile tremor syndrome. She presented with rest tremor, decreased facial expression, global hypokinesia, and later on with oculogyric crisis and dystonia. This diagnosis was revised after confirmation of tyrosine hydroxylase deficiency by CSF neurotransmitter analysis. Genetic studies revealed one previously reported missense variant, p.Thr399Met, and another large deletion starting upstream of exon 1 and encompassing exon 1. She was started on treatment with escalating doses of L‐Dopa/Carbidopa, with folinic acid supplementation. At 3.5 years of age, her cognitive functioning and development is appropriate for age. There is complete subsidence of dystonia and oculogyric episodes. She has occasional chorieform movements which appear to be drug related.
abstractGer	Abstract Tyrosine hydroxylase deficiency is a rare autosomal recessive, treatable disorder of neurotransmission. Fewer than 100 cases have been reported so far. We present a case of a 10‐month‐old infant who was symptomatic since 5 months of age and who received an initial diagnosis of infantile tremor syndrome. She presented with rest tremor, decreased facial expression, global hypokinesia, and later on with oculogyric crisis and dystonia. This diagnosis was revised after confirmation of tyrosine hydroxylase deficiency by CSF neurotransmitter analysis. Genetic studies revealed one previously reported missense variant, p.Thr399Met, and another large deletion starting upstream of exon 1 and encompassing exon 1. She was started on treatment with escalating doses of L‐Dopa/Carbidopa, with folinic acid supplementation. At 3.5 years of age, her cognitive functioning and development is appropriate for age. There is complete subsidence of dystonia and oculogyric episodes. She has occasional chorieform movements which appear to be drug related.
abstract_unstemmed	Abstract Tyrosine hydroxylase deficiency is a rare autosomal recessive, treatable disorder of neurotransmission. Fewer than 100 cases have been reported so far. We present a case of a 10‐month‐old infant who was symptomatic since 5 months of age and who received an initial diagnosis of infantile tremor syndrome. She presented with rest tremor, decreased facial expression, global hypokinesia, and later on with oculogyric crisis and dystonia. This diagnosis was revised after confirmation of tyrosine hydroxylase deficiency by CSF neurotransmitter analysis. Genetic studies revealed one previously reported missense variant, p.Thr399Met, and another large deletion starting upstream of exon 1 and encompassing exon 1. She was started on treatment with escalating doses of L‐Dopa/Carbidopa, with folinic acid supplementation. At 3.5 years of age, her cognitive functioning and development is appropriate for age. There is complete subsidence of dystonia and oculogyric episodes. She has occasional chorieform movements which appear to be drug related.
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title_short	Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient
url	https://doi.org/10.1002/jmd2.12111 https://doaj.org/article/82868084e2f44a63a8950188325d5bc4 https://doaj.org/toc/2192-8312
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Tyrosine hydroxylase deficiency—Clinical insights and a novel deletion in TH gene in an Indian patient

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