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寻找治愈方法:亨廷顿病指南。

On the hunt for a cure: A guide to Huntington disease.

机构信息

Jennifer de la Cruz is director of clinical education and a clinical assistant professor in the PA program at Mercer University in Atlanta, Ga. Joseph Hwang was a student in the PA program at Mercer University when this article was written, and now practices at Urgent Care of Oconee in Watkinsville, Ga. The authors have disclosed no potential conflicts of interest, financial or otherwise.

出版信息

JAAPA. 2021 Apr 1;34(4):26-31. doi: 10.1097/01.JAA.0000735740.95438.60.

DOI:10.1097/01.JAA.0000735740.95438.60
PMID:33735136
Abstract

Huntington disease is a rare genetic disorder characterized by motor, cognitive, and psychiatric impairments. Although the typical patient has a positive family history and initially presents with chorea between ages 30 and 50 years, some patients do not have a typical presentation. Healthcare providers should know when to refer patients to neurology for testing for Huntington disease. The earlier the diagnosis is made, the earlier the patient and patient's family can receive education about the expected disease trajectory. A multidisciplinary approach is required to mitigate symptoms as the disease progresses. Although no cure exists, ongoing research is targeting genotypic abnormalities in hopes of finding a permanent treatment for Huntington disease.

摘要

亨廷顿病是一种罕见的遗传性疾病,其特征是运动、认知和精神障碍。尽管典型的患者有阳性家族史,并在 30 至 50 岁之间出现舞蹈症,但也有一些患者没有典型表现。医疗保健提供者应该知道何时将患者转介给神经病学进行亨廷顿病检测。越早做出诊断,患者及其家属就能越早接受有关预期疾病进程的教育。需要采取多学科方法来缓解疾病进展中的症状。尽管目前尚无治愈方法,但正在进行的研究针对基因型异常,希望能找到亨廷顿病的永久治疗方法。

相似文献

1
On the hunt for a cure: A guide to Huntington disease.寻找治愈方法:亨廷顿病指南。
JAAPA. 2021 Apr 1;34(4):26-31. doi: 10.1097/01.JAA.0000735740.95438.60.
2
Huntington's disease: a clinical review.亨廷顿病:临床综述。
Orphanet J Rare Dis. 2010 Dec 20;5:40. doi: 10.1186/1750-1172-5-40.
3
Clinical neurogenetics: huntington disease.临床神经遗传学:亨廷顿病。
Neurol Clin. 2013 Nov;31(4):1085-94. doi: 10.1016/j.ncl.2013.05.004. Epub 2013 Jul 18.
4
Comprehensive treatment of Huntington disease and other choreic disorders.亨廷顿舞蹈病及其他舞蹈病的综合治疗。
Cleve Clin J Med. 2012 Jul;79 Suppl 2:S30-4. doi: 10.3949/ccjm.79.s2a.06.
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Huntington's disease: diagnosis and management.亨廷顿病:诊断与管理。
Pract Neurol. 2022 Feb;22(1):32-41. doi: 10.1136/practneurol-2021-003074. Epub 2021 Aug 19.
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[Recurrent psychotic symtoms over several years were caused by Huntington's disease].[数年来反复出现的精神病症状是由亨廷顿舞蹈症引起的]
Lakartidningen. 2021 Jan 19;118:20126.
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Huntington Disease: The Complexities of Making and Disclosing a Clinical Diagnosis After Premanifest Genetic Testing.亨廷顿舞蹈症:症状前基因检测后做出并披露临床诊断的复杂性
Tremor Other Hyperkinet Mov (N Y). 2017 Sep 6;7:467. doi: 10.7916/D8PK0TDD. eCollection 2017.
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[Chorea and Huntington's disease].[舞蹈病与亨廷顿舞蹈症]
Rev Prat. 1997 May 15;47(10):1083-7.
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Chorea-acanthocytosis: a mimicker of Huntington disease case report and review of the literature.舞蹈病-棘红细胞增多症:亨廷顿病的一种模仿者——病例报告及文献综述
Neurologist. 2006 Nov;12(6):327-9. doi: 10.1097/01.nrl.0000245817.18773.f4.
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Huntington disease.亨廷顿病
Handb Clin Neurol. 2018;147:255-278. doi: 10.1016/B978-0-444-63233-3.00017-8.

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