Abstract
Spinal and bulbar muscular atrophy (SBMA) is an X-linked, late-onset neuroendocrine disorder resulting from an expansion of a CAG repeat in the androgen receptor gene. Reported here is a detailed phenotypic study in a series of seven patients from the same family with SBMA with 50 to 54 CAG repeats, juvenile onset (mean age at onset 13 years [8 to 15 years]), and rapid progression leading to compromised ambulation in the mid-20s.
MeSH terms
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Adolescent
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Adult
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Age of Onset
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Brain Stem / pathology
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Brain Stem / physiopathology*
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Creatine Kinase / blood
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DNA Mutational Analysis
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Disease Progression
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Female
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Genetic Diseases, X-Linked / genetics
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Genetic Diseases, X-Linked / pathology
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Genetic Diseases, X-Linked / physiopathology*
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Genetic Testing
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Humans
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Magnetic Resonance Imaging
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Male
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Muscle, Skeletal / innervation
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Muscle, Skeletal / physiopathology
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Muscular Atrophy / genetics
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Muscular Atrophy / pathology
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Muscular Atrophy / physiopathology
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Muscular Atrophy, Spinal / genetics
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Muscular Atrophy, Spinal / pathology
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Muscular Atrophy, Spinal / physiopathology*
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Mutation / genetics*
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Neural Conduction / genetics
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Pedigree
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Peripheral Nerves / physiopathology
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Phenotype
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Prognosis
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Spinal Cord / pathology
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Spinal Cord / physiopathology*
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Trinucleotide Repeat Expansion / genetics