Dorobek M, Szmidt-Sałkowska E, Drac H, Hardin A, Kwieciński H
Kliniki Neurologicznej, Akademii Medycznej w Warszawie.
Neurol Neurochir Pol. 1999 Jan-Feb;33(1):177-85.
Hereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal dominant disorder characterised by recurrent mononeuropathies. Electrophysiological studies reveal slowed conduction velocity in peripheral nerves. The main histopathological findings are focal thickenings of myelin-tomaculae. In most cases HNPP is associated with a deletion within PMP-22 (peripheral myelin protein; PMP) gene on chromosome 17p11.2. The gene penetration is almost complete but the expression may be variable. DNA analysis is of practical importance in diagnosing HNPP especially in sporadic cases and also in individuals without clinical and electrophysiological signs of neuropathy. We present the first Polish family with HNPP, in which the genetic defect has been confirmed by DNA analysis.
遗传性压力易感性周围神经病(HNPP)是一种常染色体显性疾病,其特征为复发性单神经病。电生理研究显示周围神经传导速度减慢。主要组织病理学发现是髓鞘局灶性增厚——髓鞘瘤。在大多数情况下,HNPP与17号染色体p11.2上的外周髓鞘蛋白22(PMP-22)基因缺失有关。该基因的外显率几乎是完全的,但表达可能存在差异。DNA分析对于诊断HNPP具有实际重要性,尤其是在散发病例以及无神经病临床和电生理体征的个体中。我们报告了波兰首例HNPP家族,其中的基因缺陷已通过DNA分析得到证实。