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Alexander disease as a cause of nocturnal vomiting in a 7-year-old girl.
[alexander disease]
Alexander
disease
is
a
rare
form
of
leukodystrophy
with
a
highly
variable
clinical
course
.
Occasionally
night
-time
nausea
and
vomiting
are
the
first
symptoms
of
juvenile
Alexander
disease
.
A
7
-
year
-old
girl
had
recurrent
night
-time
vomiting
and
her
growth
and
weight
gain
had
deteriorated
after
her
sixth
birthday
.
Cranial
MRI
demonstrated
two
small
,
symmetrical
focal
areas
of
abnormally
high
signal
intensity
in
the
dorsal
medulla
oblongata
on
T
2
-
W
and
FLAIR
images
.
These
were
suggestive
of
juvenile
Alexander
disease
,
and
subsequent
sequencing
of
the
glial
fibrillary
acidic
protein
(
GFAP
)
gene
revealed
a
heterogeneous
missense
mutation
in
the
GFAP
gene
in
exon
6
.
Alexander
disease
should
be
considered
in
young
patients
with
atypical
anorexia
nervosa-
type
symptoms
.
Diseases
Validation
Diseases presenting
"heterogeneous missense mutation"
symptom
alexander disease
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