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Cerebrotendinous xanthomatosis - A case report.

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Cerebrotendinous xanthomatosis (CTX) is a rare genetic disorder causing cholestanol and cholesterol buildup. This case highlights key clinical and imaging findings in a patient with CTX, confirming diagnosis through biopsy and lab tests.

Keywords:
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Area of Science:

  • Biochemistry
  • Genetics
  • Neurology

Background:

  • Cerebrotendinous xanthomatosis (CTX) is a rare autosomal recessive disorder.
  • It stems from a defective enzyme in bile acid synthesis, causing cholestanol and cholesterol deposition.
  • This leads to neurological, ocular, vascular, and musculoskeletal symptoms.

Observation:

  • A 32-year-old female presented with intellectual disability, unsteady gait, and bilateral ankle swelling.
  • Clinical examination revealed characteristic physical signs of CTX.
  • Imaging studies were crucial for evaluating the extent of the disease.

Findings:

  • Imaging revealed a spectrum of characteristic CTX findings in the brain and tendons.
  • Biopsy and laboratory tests confirmed the diagnosis of Cerebrotendinous xanthomatosis.
  • The findings align with the known pathophysiology of CTX.

Implications:

  • Early diagnosis of CTX is crucial for timely intervention and management.
  • Understanding the clinical and imaging spectrum aids in identifying affected individuals.
  • Further research into bile acid synthesis defects can offer therapeutic targets for CTX.