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Infantile-onset Alexander disease in a child with long-term follow-up by serial magnetic resonance imaging: a case report.
[alexander disease]
Alexander
disease
is
a
rare
disorder
resulting
from
a
glial
fibrillary
acidic
protein
gene
mutation
which
causes
progressive
degeneration
of
white
matter
.
With
the
Â
usual
poor
prognosis
,
there
are
few
case
reports
with
long
-term
follow-up
.
We
report
the
five
-
year
clinical
course
of
Alexander
disease
in
one
case
using
serial
magnetic
resonance
Â
imaging
.
A
12
-
month
-old
Japanese
male
was
referred
to
the
pediatrics
department
in
our
hospital
because
of
developmental
retardation
.
Alexander
disease
was
diagnosed
by
gene
examination
of
the
mutation
of
a
glial
fibrillary
acidic
protein
.
Magnetic
resonance
imaging
Â
findings
showed
abnormalities
in
white
matter
,
deep
gray
Â
matter
,
and
medulla
oblongata
.
Serial
Â
magnetic
resonance
imaging
Â
examinations
until
the
age
of
five
were
performed
and
changes
in
Â
magnetic
resonance
imaging
Â
findings
were
compared
to
the
progression
in
clinical
symptoms
.
Alexander
disease
is
a
very
rare
disease
with
a
variety
of
clinical
phenotypes
.
Therefore
serial
Â
magnetic
resonance
imaging
Â
studies
for
long
-term
survival
infantile
cases
including
our
case
may
be
important
in
the
analysis
of
the
pathophysiological
mechanism
.
Diseases
Validation
Diseases presenting
"long-term survival"
symptom
alexander disease
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cholangiocarcinoma
epidermolysis bullosa simplex
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
malignant atrophic papulosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
omenn syndrome
severe combined immunodeficiency
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