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Combination of multiple sclerosis and neurofibromatosis type i, remained undiagnosed from early childhood

Воскресенская О. Н., Шмидт Т. Е., Алексеева А. О., Клишевская Л. А., Казанцев К. Ю., Пушков А. А., Савостянов К. В., Асанов А. Ю.
Вопросы практической педиатрии
Т. 14, Вып. 3, С. 45-50
Опубликовано: 2019
Тип ресурса: Статья

DOI:10.20953/1817-7646-2019-3-45-50

Аннотация:
Multiple sclerosis (MS) is a chronic inflammatory disease of infectious and allergic etiology, usually manifesting in young people by progressive symptoms of CNS damage due to demyelination of nerve fibers. Neurofibromatosis type 1 (NF-1) is a common monogenic disorder from the group of phacomatosis, inherited in an autosomal dominant pattern (OMIM: 162200). None clinical manifestations of NF-1 are associated with demyelination, while in the MS pathogenesis, loss of myelin by the axons of the central nervous system is a key element. Combination of these two diseases in one patient is extremely rare. In this article, we report a case of primary-progressive MS developed in a patient with NF-1, which had remained undiagnosed for many years. We analyzed possible mechanisms underlying pathogenetic relationship between these diseases and covered the main problems associated with the diagnosis of non-overt NF-1 in children. © 2019, Dynasty Publishing House. All rights reserved.
Ключевые слова:
Genetic counseling; Multiple sclerosis; Neurofibromatosis type 1; Non-overt disease
Article; case report; clinical article; disease association; human; multiple sclerosis; neurofibromatosis type 1; pathogenesis
Язык текста: Русский
ISSN: 2414-9705
Воскресенская О. Н. Ольга Николаевна 1961-
Шмидт Т. Е. Татьяна Евгеньевна 1948-
Алексеева А. О. Анна Олеговна 1993-
Клишевская Л. А. Лариса Анатольевна 1951-
Казанцев К. Ю. Константин Юрьевич 1978-
Пушков А. А.
Савостянов К. В.
Асанов А. Ю. Алий Юрьевич 1945-
Voskresenskaya O. N. Ol`ga Nikolaevna 1961-
Shmidt T. E. Tat`yana Evgenyevna 1948-
Alekseeva A. O. Anna Olegovna 1993-
Klishevskaya L. A. Larisa Anatolyevna 1951-
Kazantsev K. Yu. Konstantin Yuryevich 1978-
Pushkov A. A.
Savostyanov K. V.
Asanov A. Yu. Alij Yuryevich 1945-
Combination of multiple sclerosis and neurofibromatosis type i, remained undiagnosed from early childhood
Текст визуальный непосредственный
Вопросы практической педиатрии
ООО "Издательство "Династия"
Т. 14, Вып. 3 С. 45-50
2019
Статья
Genetic counseling Multiple sclerosis Neurofibromatosis type 1 Non-overt disease
Article case report clinical article disease association human multiple sclerosis neurofibromatosis type 1 pathogenesis
Multiple sclerosis (MS) is a chronic inflammatory disease of infectious and allergic etiology, usually manifesting in young people by progressive symptoms of CNS damage due to demyelination of nerve fibers. Neurofibromatosis type 1 (NF-1) is a common monogenic disorder from the group of phacomatosis, inherited in an autosomal dominant pattern (OMIM: 162200). None clinical manifestations of NF-1 are associated with demyelination, while in the MS pathogenesis, loss of myelin by the axons of the central nervous system is a key element. Combination of these two diseases in one patient is extremely rare. In this article, we report a case of primary-progressive MS developed in a patient with NF-1, which had remained undiagnosed for many years. We analyzed possible mechanisms underlying pathogenetic relationship between these diseases and covered the main problems associated with the diagnosis of non-overt NF-1 in children. © 2019, Dynasty Publishing House. All rights reserved.