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Published on: March 3, 2021
Extending the Phenotypic Spectrum of Huntington Disease: Hypothermia
Şule Altıner1, Senol Ardic2, Alper H Çebi3
1Department of Medical Genetics, Trabzon Kanuni Training and Research Hospital, University of Health Sciences, Trabzon, Turkey.
Insights
Huntington disease (HD), a neurodegenerative disorder, can manifest with hypothermia. This case report details the first human instance of hypothermia in late-stage Huntington disease, highlighting a potential thermoregulatory defect.
Area of Science:
- Neuroscience
- Genetics
- Clinical Medicine
Background:
- Huntington disease (HD) is an autosomal dominant neurodegenerative disorder.
- It is characterized by expanded CAG repeat sizes in the huntingtin gene.
- Common symptoms include movement, psychiatric, and cognitive issues, alongside weight loss and sleep disturbances.
Purpose of the Study:
- To report the first human case of hypothermia in late-stage Huntington disease.
- To investigate potential thermoregulatory dysfunction in human HD patients.
Main Methods:
- Clinical case report.
- Review of existing literature on HD and thermoregulation.
Main Results:
- A patient with late-stage Huntington disease presented with hypothermia.
- This is the first documented human case of hypothermia in HD.
- Thermoregulatory defects have been previously observed in animal models of HD.
Conclusions:
- Hypothermia may be a clinical manifestation of thermoregulatory defects in advanced Huntington disease.
- This finding warrants further investigation into thermoregulation in HD patients.
Abstract:
Huntington disease (HD) is an autosomal dominant progressive neurodegenerative disorder associated with expanded CAG repeat size in the huntingtin gene and usually presenting with movement disorder, psychiatric symptoms, and cognitive decline. Sleep problems, weight loss, and cachexia are also common. Here, we report a patient presenting with hypothermia in late-stage HD. Although thermoregulatory defects were documented in animal models, this is the first report describing HD with hypothermia in humans.
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