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Choking on food: a rare case of alexander leukodystrophy and choking.
[alexander disease]
Every
body
has
to
eat
to
survive
but
it
becomes
a
matter
of
great
concern
,
when
the
life
provider
food
becomes
an
asphyxiating
agent
.
In
this
case
,
a
60
-
year
-old
woman
choked
herself
while
swallowing
biscuits
.
On
autopsy
examination
,
biscuits
were
found
lodged
in
larygo-pharynx
.
Brain
showed
marked
dystrophy
and
loosened
lusterless
white
matter
.
On
histopathologic
examination
,
brain
tissue
had
numerous
eosinophilic
globules
representing
astrocytic
processes
called
"
Rosenthal
fibers
"
;
hence
,
it
was
diagnosed
as
a
case
of
Alexander
dystrophy
.
It
is
a
disease
of
white
matter
,
where
there
is
a
progressive
degeneration
of
the
white
matter
of
the
brain
because
of
imperfect
growth
or
development
of
the
myelin
sheath
.
The
histopathology
of
brain
showed
Rosenthal
fibers
in
abundance
.
This
is
one
of
the
rarest
disease
in
which
choking
can
occur
because
of
lack
of
nervous
and
muscular
coordination
and
weakness
.
Its
specific
relation
to
choking
is
documented
in
this
report
.
Diseases
Validation
Diseases presenting
"white matter"
symptom
22q11.2 deletion syndrome
adrenomyeloneuropathy
alexander disease
cadasil
canavan disease
classical phenylketonuria
cushing syndrome
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
homocystinuria without methylmalonic aciduria
kabuki syndrome
kallmann syndrome
krabbe disease
neonatal adrenoleukodystrophy
proteus syndrome
pyruvate dehydrogenase deficiency
sneddon syndrome
wiskott-aldrich syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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