Article
Hepatic cirrhosis, dystonia, polycythaemia and hypermanganesaemia--a new metabolic disorder.
Journal of inherited metabolic disease - 1 Apr 2008
Tuschl Karin, Mills Philippa B, Parsons Howard, Malone Marian, Fowler Darren, Bitner-Glindzicz Maria, Clayton Peter T
Abstract excerpt
We report a new constellation of clinical features consisting of hypermanganesaemia, liver cirrhosis, an extrapyramidal motor disorder and polycythaemia in a 12 year-old girl born to consanguineous parents. Blood manganese levels were >3000 nmol/L (normal range <320 nmol/L) and MRI revealed signal abnormalities of the basal ganglia consistent with manganese deposition. An older brother with the same phenotype...
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