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Atypical Menkes steely hair disease

J A Westman1, D C Richardson, O M Rennert

  • 1Ohio State University College of Medicine, Department of Pediatrics, Columbus.

Insights

Menkes steely hair disease (MSHD) is a rare genetic disorder. This report details a child with a milder MSHD form, surviving to age 9 and in good health.

Area of Science:

  • Genetics
  • Pediatrics
  • Neurology

Background:

  • Menkes steely hair disease (MSHD) is a rare X-linked genetic disorder.
  • Typically characterized by severe neurodevelopmental impairment and early mortality.
  • Caused by mutations in the copper-transporting ATPase gene ATP7A.

Observation:

  • A case of a male infant with an atypical, milder form of MSHD is presented.
  • This patient exhibited a less severe clinical presentation compared to classic MSHD.
  • Previous reports documented a similar atypical case in 1981.

Findings:

  • The presented child with atypical MSHD has survived to 9 years of age.
  • The patient is reported to be doing well clinically.
  • This suggests a potentially better prognosis for certain MSHD variants.

Implications:

  • Highlights the phenotypic variability within Menkes steely hair disease.
  • Suggests that genetic testing and early identification are crucial for managing MSHD.
  • Informs prognosis and potential therapeutic strategies for atypical MSHD cases.

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