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Updated: Jul 16, 2026

Fingerprinting Cardiolipin in Leukocytes by Mass Spectrometry for a Rapid Diagnosis of Barth Syndrome
Published on: March 23, 2022
Barth syndrome is associated with a cognitive phenotype
Michèle M M Mazzocco1, Anne E Henry, Richard I Kelly
1Kennedy Krieger Institute, Baltimore, MD 21211, USA. mazzocco@kennedykrieger.org
Boys with Barth syndrome (a rare X-linked disorder) show cognitive difficulties, particularly in math and visual-spatial tasks. Early educational support is recommended for affected children.
Area of Science:
- Genetics and rare diseases
- Neurodevelopmental disorders
- Pediatric health
Background:
- Barth syndrome is a rare X-linked recessive disorder affecting males, characterized by growth retardation, cardioskeletal myopathy, neutropenia, and 3-methylglutaconic aciduria.
- Preliminary studies suggested a distinct cognitive phenotype in young boys with Barth syndrome.
Purpose of the Study:
- To investigate further evidence for a cognitive phenotype in a larger sample of boys with Barth syndrome.
- To compare the psychoeducational performance of boys with Barth syndrome to typically developing peers.
Main Methods:
- A psychoeducational assessment battery was administered to 15 boys diagnosed with Barth syndrome.
- Performance data were compared against a control group of 15 typically developing boys matched for age and school grade.
Main Results:
- Boys with Barth syndrome demonstrated age-appropriate reading skills.
- Significantly lower performance was observed in mathematics and visual-spatial tasks compared to the control group.
- Specific deficits in visual short-term memory were identified in the Barth syndrome cohort.
Conclusions:
- Findings confirm a higher incidence of cognitive difficulties in boys with Barth syndrome.
- Cognitive challenges, combined with regular fatigue, necessitate early educational support for affected children.
- The study validates the existence of a distinct cognitive phenotype in Barth syndrome.
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