[X-linked recessive bulbospinal muscular atrophy (Kennedy's disease). A family study].
Kennedy's disease is a rare type of motor neuron disease with a sex-linked recessive trait. DNA studies show a mutation at the androgen receptor gene on the long arm of X chromosome (Xq 11-12) with expanded CAG triplets (more than 347 repeats). We present three patients and one carrier among ten patients of a four generation family with clinical phenotype of the disease. The patients' ages ranged from 50 to 60 years with symptomatology usually beginning around 30 years of age. Patients had gynecomastia, testicular atrophy, muscular weakness, fasciculation, amyotrophy, absent deep tendon reflexes and postural tremor. PCR techniques of DNA analysis showed expanded size of CAG repeats on Xq 11-12 in all the three patients and in the carrier asymptomatic woman. This is the first Brazilian family with genetic molecular diagnosis of Kennedy's disease. This disease must be included in the differential diagnosis of motor neuron disease since it has a distinct prognosis and genetic counseling is mandatory to the carriers.
Kaimen-Maciel
D R
DR
Departamento de Clínica Médica, Universidade Estadual de Londrina (UEL), Hospital Universitário Regional do Norte do Paraná (HURNP), Londrina, Brasil.
Medeiros
M
M
Clímaco
V
V
Kelian
G R
GR
da Silva
L S
LS
de Souza
M M
MM
Raskin
S
S
D003937:Diagnosis, Differential; D005260:Female; D005808:Genes, Recessive; D008040:Genetic Linkage; D006801:Humans; D008297:Male; D008875:Middle Aged; D009134:Muscular Atrophy, Spinal / Q000175:diagnosis* / Q000235:genetics*; D010375:Pedigree; D014960:X Chromosome / Q000235:genetics*
Atrofia muscular bulbo espinhal recessiva ligada ao cromossomo X (doença de Kennedy). Estudo de uma família.