Heiberg Arvid
Avdeling for medisinsk genetikk, Rikshospitalet, 0027 Oslo.
Tidsskr Nor Laegeforen. 2008 Oct 9;128(19):2214-7.
Huntington's disease is an autosomal dominant slowly degenerative apoptotic condition in CNS, in particular in striatum. It is characterized by involuntary movements; in particular chorea, personality changes and subcortical dementia. About 250 persons are diagnosed in Norway with the condition at any time, most are diagnosed between 35 and 55 years but onset before 20 years of age can be seen and diagnosis in later life is not rare. The average duration is about 15 years from diagnosis to death, but it can be considerably longer. Signs, symptoms and therapeutic challenges are mentioned in addition to molecular and clinical genetic aspects, in particular pre-symptomatic and prenatal diagnosis.
亨廷顿舞蹈症是一种常染色体显性的、中枢神经系统尤其是纹状体中缓慢进展的退行性凋亡疾病。其特征为不自主运动,尤其是舞蹈症、人格改变和皮质下痴呆。挪威任何时候约有250人被诊断为此病,多数在35至55岁之间被诊断,但也可见于20岁之前起病的情况,晚年被诊断的情况也不罕见。从诊断到死亡的平均病程约为15年,但也可能长得多。除了分子和临床遗传学方面,特别是症状前和产前诊断外,还提到了体征、症状和治疗挑战。