Belal S, Hentati F, Ben Hamida C, Ben Hamida M
Institut National de Neurologie, Tunis, Tunisia.
Clin Neurosci. 1995;3(1):39-42.
The most common autosomal recessive ataxia is Friedreich's ataxia (FA), characterized mainly by an early onset, absent tendon reflexes, deep sensory loss, cerebellar and Babinski signs. Screening the patients from families with classical FA features, we found that some families were excluded from the FA locus on chromosome 9, and are associated to isolate vitamin E deficiency. The similarity of the clinical data between FA with and without vitamin E deficiency was remarkable. The disorder with vitamin E deficiency often confused with FA, is currently known as linked to chromosome 8q. Therefore it is important to test vitamin E levels in all patients suspected to have FA, since the alpha tocopherol supplementation may be efficient in early stages of the disease.
最常见的常染色体隐性共济失调是弗里德赖希共济失调(FA),其主要特征为起病早、腱反射消失、深度感觉丧失、小脑体征和巴宾斯基征。在对具有典型FA特征的家族患者进行筛查时,我们发现一些家族被排除在9号染色体上的FA基因座之外,且与单纯维生素E缺乏有关。伴有和不伴有维生素E缺乏的FA之间的临床数据相似性显著。维生素E缺乏症常与FA混淆,目前已知其与8号染色体长臂有关。因此,对所有疑似患有FA的患者进行维生素E水平检测很重要,因为补充α-生育酚在疾病早期可能有效。