Adult onset Niemann-Pick disease type C presenting with psychosis
Por um escritor misterioso
Descrição
Niemann-Pick disease type C (NPC) is an autosomal recessive neurometabolic disorder that rarely presents in adulthood, and is associated with cognitive decline, various movement disorders (ataxia, chorea, dystonia, and myoclonus), a vertical supranuclear gaze palsy (VSGP), and seizures. A recent case report demonstrated a delay in diagnosis of eight years when a patient with NPC presented with psychosis. This article reviewed all cases seen at the Mayo Clinic with a possible diagnosis of NPC between 1976 and 2000. Of the 52 possible cases, five had an established diagnosis of adult onset NPC. Of these, two presented with psychosis and were not diagnosed with NPC for 5 and 15 years, respectively. NPC may initially present in adulthood with psychosis, and when psychosis is associated with VSGP, various dyskinesias, and seizures, NPC should be suspected.
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Correlation of age of onset and clinical severity in Niemann–Pick disease type C1 with lysosomal abnormalities and gene expression
![Adult onset Niemann-Pick disease type C presenting with psychosis](https://casereports.bmj.com/content/casereports/2017/bcr-2017-220134/F1.large.jpg)
Patient with Niemann-Pick disease type C: over 20 years' follow-up
![Adult onset Niemann-Pick disease type C presenting with psychosis](https://d3i71xaburhd42.cloudfront.net/a0f1920c418c78a80fac7263956cb690794a18da/3-Table3-1.png)
PDF] Efficient Investigation and Differential Diagnosis of Childhood Onset Niemann-Pick Type C
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Niemann-Pick disease type C, Orphanet Journal of Rare Diseases
![Adult onset Niemann-Pick disease type C presenting with psychosis](https://europepmc.org/articles/PMC5800709/bin/NEURCLINPRACT2017021501FFU1.jpg)
Recommendations for the detection and diagnosis of Niemann-Pick disease type C: An update. - Abstract - Europe PMC
![Adult onset Niemann-Pick disease type C presenting with psychosis](https://www.researchgate.net/publication/257184232/figure/fig2/AS:403072313511937@1473111336158/Niemann-Pick-disease-type-C-as-a-neurovisceral-disease-Schematic-representation-of-the.png)
Niemann-Pick disease type C as a neurovisceral disease. Schematic
![Adult onset Niemann-Pick disease type C presenting with psychosis](https://www.e-jmd.org/upload/thumbnails/jmd-19077f1.jpg)
A Rare Case of Late Adult-Onset Niemann-Pick Disease Type C
![Adult onset Niemann-Pick disease type C presenting with psychosis](https://d3i71xaburhd42.cloudfront.net/2fc6737112c39ade3217c269ec45b1a193e2da6c/3-Figure1-1.png)
Recommendations for the diagnosis and management of Niemann-Pick disease type C: an update.
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The Neuropsychiatry of Niemann-Pick Type C Disease in Adulthood
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