A Tanzanian Boy with Molecularly Confirmed X-Linked Adrenoleukodystrophy

Adrenoleukodystrophy (ALD) is an X-linked peroxisomal disorder with classical features, which can be also recognised in a low resource setting. It had been described in various populations across the globe, but very few cases have been reported from Africa. In a boy with features of a progressive ce...

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Main Authors: M. C. J. Dekker, A. M. Sadiq, R. Mc Larty, R. M. Mbwasi, M. A. A. P. Willemsen, H. R. Waterham, B. C. Hamel
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Genetics
Online Access:http://dx.doi.org/10.1155/2019/6148425
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author M. C. J. Dekker
A. M. Sadiq
R. Mc Larty
R. M. Mbwasi
M. A. A. P. Willemsen
H. R. Waterham
B. C. Hamel
author_facet M. C. J. Dekker
A. M. Sadiq
R. Mc Larty
R. M. Mbwasi
M. A. A. P. Willemsen
H. R. Waterham
B. C. Hamel
author_sort M. C. J. Dekker
collection DOAJ
description Adrenoleukodystrophy (ALD) is an X-linked peroxisomal disorder with classical features, which can be also recognised in a low resource setting. It had been described in various populations across the globe, but very few cases have been reported from Africa. In a boy with features of a progressive central nervous system condition and adrenal failure, ABCD1 gene screening was performed based on a clinical history and basic radiological features which were compatible with ALD. A common ABCD1 mutation was identified in this patient, which is the first report of genetically confirmed ALD in Sub-Saharan Africa. ALD is likely under recognised in those areas where there is no neurologist. This genetic confirmation widens geographical distribution of ABCD1-associated disease, and illustrates recognisability of this disorder, even when encountered in a low-resource environment.
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id doaj-art-10af2e8b1c1b4ed188eed8f1a5affa66
institution Kabale University
issn 2090-6544
2090-6552
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Genetics
spelling doaj-art-10af2e8b1c1b4ed188eed8f1a5affa662025-02-03T01:10:12ZengWileyCase Reports in Genetics2090-65442090-65522019-01-01201910.1155/2019/61484256148425A Tanzanian Boy with Molecularly Confirmed X-Linked AdrenoleukodystrophyM. C. J. Dekker0A. M. Sadiq1R. Mc Larty2R. M. Mbwasi3M. A. A. P. Willemsen4H. R. Waterham5B. C. Hamel6Department of Paediatrics and Child Health, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, TanzaniaDepartment of Radiology, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, TanzaniaDepartment of Paediatrics and Child Health, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, TanzaniaDepartment of Paediatrics and Child Health, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, TanzaniaDepartment of Pediatrics, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, NetherlandsLaboratory Genetic Metabolic Diseases, Amsterdam UMC—Location AMC, University of Amsterdam, Amsterdam, NetherlandsDepartment of Human Genetics, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, NetherlandsAdrenoleukodystrophy (ALD) is an X-linked peroxisomal disorder with classical features, which can be also recognised in a low resource setting. It had been described in various populations across the globe, but very few cases have been reported from Africa. In a boy with features of a progressive central nervous system condition and adrenal failure, ABCD1 gene screening was performed based on a clinical history and basic radiological features which were compatible with ALD. A common ABCD1 mutation was identified in this patient, which is the first report of genetically confirmed ALD in Sub-Saharan Africa. ALD is likely under recognised in those areas where there is no neurologist. This genetic confirmation widens geographical distribution of ABCD1-associated disease, and illustrates recognisability of this disorder, even when encountered in a low-resource environment.http://dx.doi.org/10.1155/2019/6148425
spellingShingle M. C. J. Dekker
A. M. Sadiq
R. Mc Larty
R. M. Mbwasi
M. A. A. P. Willemsen
H. R. Waterham
B. C. Hamel
A Tanzanian Boy with Molecularly Confirmed X-Linked Adrenoleukodystrophy
Case Reports in Genetics
title A Tanzanian Boy with Molecularly Confirmed X-Linked Adrenoleukodystrophy
title_full A Tanzanian Boy with Molecularly Confirmed X-Linked Adrenoleukodystrophy
title_fullStr A Tanzanian Boy with Molecularly Confirmed X-Linked Adrenoleukodystrophy
title_full_unstemmed A Tanzanian Boy with Molecularly Confirmed X-Linked Adrenoleukodystrophy
title_short A Tanzanian Boy with Molecularly Confirmed X-Linked Adrenoleukodystrophy
title_sort tanzanian boy with molecularly confirmed x linked adrenoleukodystrophy
url http://dx.doi.org/10.1155/2019/6148425
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