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Published on: February 27, 2018
Huntington's disease, case report
Ante Ivkosic1, Marina Titlic, Tade Tadic
1Split University Hospital, Laboratory for Clinical and Forensic Genetics.
Insights
Huntington's disease (HD) is a neurodegenerative disorder caused by a CAG triplet expansion in the HD gene. This paper details a 36-year-old female patient's diagnostic journey, including genetic testing and family pedigree reconstruction.
Area of Science:
- Neurogenetics
- Neurology
- Clinical Diagnostics
Background:
- Huntington's disease (HD) is a chronic neurodegenerative disorder presenting with chorea, cognitive decline, and behavioral changes.
- The genetic basis of HD involves an expanded CAG nucleotide triplet repeat within the HD gene, identified on chromosome 4p16.3.
- Understanding the genetic mutation is crucial for diagnosing and managing this progressive condition.
Observation:
- This study focuses on a 36-year-old female diagnosed with Huntington's disease.
- The patient underwent a comprehensive diagnostic evaluation.
- Diagnostic procedures included detailed clinical assessments and specific genetic testing for the HD mutation.
Findings:
- Genetic testing confirmed the characteristic CAG triplet expansion, confirming the diagnosis of Huntington's disease.
- Family pedigree reconstruction provided insights into the inheritance pattern of the disease within the patient's lineage.
- The diagnostic procedure successfully identified the genetic cause of HD in the patient.
Implications:
- Accurate genetic diagnosis is essential for effective Huntington's disease management and patient counseling.
- Pedigree analysis aids in understanding disease transmission and identifying at-risk family members.
- This case highlights the importance of integrated diagnostic approaches, combining clinical evaluation with genetic testing for neurodegenerative disorders.
Abstract:
Huntington's disease (HD) is a chronic neurodegenerative disorder, characterized by the following triad of clinical hallmarks: chorea, cognitive impairment and behavior disorders [8]. In 1993 the gene responsible for HD, whose mutation results in HD, was identified and mapped on the chromosome 4p16.3 [6]. The mutation is a characteristic expansion of a CAG nucleotide triplet. In this paper we present a 36-years-old female patient with HD who was submitted to a complete diagnostic procedure including genetic testing. Her pedigree was reconstructed using available medical documentation and tracing other members of her family.
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