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Doghmi N, Elkoundi A, Meskine A, Benakrout A, Baite A, Haimeur C. [Epilepsy revealing chorea-acanthocytosis: about a case]. Pan Afr Med J 2016; 24:172. [PMID: 27795769 PMCID: PMC5072886 DOI: 10.11604/pamj.2016.24.172.9686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2016] [Accepted: 05/23/2016] [Indexed: 11/11/2022] Open
Abstract
Chorea-acanthocytosis (ChAc) is an extremely rare autosomal recessive disorder caused by mutations in the VSP13A gene on chromosome 9q21. It is characterized by neurological symptoms, psychiatric manifestations and multisystem involvement resulting in myopathy, axonal neuropathy and presence of spiculated red blood cells or acanthocytes. Rarely, epilepsy may be the early symptom in these patients. This can lead to serious delays in diagnosis. We here report the case of a patient with this disease who had seizures several years before the onset of typical manifestations.
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Affiliation(s)
- Nawfal Doghmi
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Abdelghafour Elkoundi
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Amine Meskine
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Aziz Benakrout
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Abdelouahed Baite
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Cherqui Haimeur
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
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Samia Y, Yosra C, Foued B, Mouna A, Olfa B, Jihed S, Hammadi B, Mahbouba FA, Amel L, Habib SM. Facial cellulitis revealing choreo-acanthocytosis: a case report. Pan Afr Med J 2014; 17:322. [PMID: 25332750 PMCID: PMC4198278 DOI: 10.11604/pamj.2014.17.322.4085] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2014] [Accepted: 04/10/2014] [Indexed: 11/24/2022] Open
Abstract
We report a 62 year-old-man with facial cellulitis revealing choreo-acanthocytosis (ChAc). He showed chorea that started 20 years ago. The orofacial dyskinisia with tongue and cheek biting resulted in facial cellulitis. The peripheral blood smear revealed acanthocytosis of 25%. The overall of chorea, orofacial dyskinetic disorder, peripheral neuropathy, disturbed behavior, acanthocytosis and the atrophy of caudate nuclei was suggestive of a diagnosis of ChAc. To our knowledge no similar cases of facial cellulitis revealing choreo-acanthocytosis (ChAc) were found in a review of the literature.
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Affiliation(s)
- Younes Samia
- Department of Endocrinology and Internal Medicine, Laboratory of Hematology, Tahar Sfar University Hospital of Mahdia, Mahdia, Tunisia
| | - Cherif Yosra
- Department of Endocrinology and Internal Medicine, Laboratory of Hematology, Tahar Sfar University Hospital of Mahdia, Mahdia, Tunisia
| | - Bellazreg Foued
- Department of Infectious Diseases, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Aissi Mouna
- Department of Neurology, Fattouma Bourguiba's University Hospital of Monastir, Monastir, Tunisia
| | - Berriche Olfa
- Department of Endocrinology and Internal Medicine, Laboratory of Hematology, Tahar Sfar University Hospital of Mahdia, Mahdia, Tunisia
| | - Souissi Jihed
- Department of Infectious Diseases, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Braham Hammadi
- Department of Endocrinology and Internal Medicine, Laboratory of Hematology, Tahar Sfar University Hospital of Mahdia, Mahdia, Tunisia
| | - Frih-Ayed Mahbouba
- Department of Neurology, Fattouma Bourguiba's University Hospital of Monastir, Monastir, Tunisia
| | - Letaief Amel
- Department of Infectious Diseases, Farhat Hached University Hospital of Sousse, Sousse, Tunisia
| | - Sfar Mohamed Habib
- Department of Endocrinology and Internal Medicine, Laboratory of Hematology, Tahar Sfar University Hospital of Mahdia, Mahdia, Tunisia
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