Ahmed Moutushi, Mridha Debasish
Internal Medicine, Khulna Medical College, Khulna, BGD.
Neurology, Michigan Advanced Neurology Center, Saginaw, USA.
Cureus. 2023 Aug 12;15(8):e43377. doi: 10.7759/cureus.43377. eCollection 2023 Aug.
This study presents the clinical features and disease progression of a 39-year-old male patient diagnosed with Huntington's disease (HD). The diagnosis was confirmed by direct genetic testing, using DNA obtained from a blood sample that revealed expanded cytosine-adenine-guanine (CAG) repeats in the huntingtin gene (HD gene). The patient exhibited motor symptoms, including chorea, muscle rigidity, coordination difficulties, and speech and swallowing impairments. Cognitive symptoms comprised impaired judgment, planning difficulties, slowed thinking, memory lapses, and attention problems. The patient's progressive deterioration resulted in wheelchair dependency and increased reliance on supportive care. This report highlights the significance of genetic testing in confirming HD diagnosis and emphasizes the need for a multidisciplinary approach to manage the symptoms and improve the patient's quality of life.
本研究介绍了一名39岁被诊断为亨廷顿舞蹈症(HD)男性患者的临床特征和疾病进展情况。通过直接基因检测确诊,检测使用从血样中获取的DNA,结果显示亨廷顿基因(HD基因)中胞嘧啶 - 腺嘌呤 - 鸟嘌呤(CAG)重复序列扩增。患者出现运动症状,包括舞蹈症、肌肉僵硬、协调困难以及言语和吞咽障碍。认知症状包括判断力受损、计划困难、思维迟缓、记忆失误和注意力问题。患者病情逐渐恶化,导致依赖轮椅并越来越需要支持性护理。本报告强调了基因检测在确诊HD中的重要性,并强调需要采取多学科方法来管理症状并改善患者生活质量。