Cited by 35Neurological diseases and metabolismIron Metabolism and DisordersMetabolism and Genetic Disorders

Effectiveness of oral iron chelator treatment with deferasirox in an aceruloplasminemia patient with a novel ceruloplasmin gene mutation

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Suzuki, Yasuhiro, Yoshida, Kosuke, Aburakawa, Yoko, Kuroda, Kenji, Kimura, Takashi, Terada, Tatsuhiro, Kono, Satoshi, Miyajima, Hiroaki +1 more·2013·Internal Medicine

Abstract

A 59-year-old man presented with refractory anemia, choreoathetosis in the left upper extremity, an unsteady gait and cognitive dysfunction. The laboratory findings showed a marked decrease in ceruloplasmin. Magnetic resonance images revealed iron deposition in the brain and visceral organs. Iron accumulation was also observed in hepatocytes. Genetic analyses of the ceruloplasmin gene revealed a novel homozygous mutation of c.2185 delC in exon 12. The oral chelator deferasirox was effective in treating the left-side choreoathetosis and unsteady gait. Providing early treatment using deferasirox may be useful for preventing the progression of symptomatic neurological dysfunction.

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Crossref · 10.2169/internalmedicine.52.0102

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  • The oral chelator deferasirox was effective in a 59-year-old man to treat left-side choreoathetosis and an unsteady gait.

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Authors
Suzuki, Y., Yoshida, K., Aburakawa, Y., Kuroda, K., Kimura, T., Terada, T., Kono, S., Miyajima, H., & Yahara, O.
Affiliations
  • National Hospital Organization Asahikawa Medical Center (JP)
  • Hamamatsu University (JP)
Venue
Internal Medicine
Published
2013
Volume
52
Issue
13
Pages
1527-1530
ISSN
  • 0918-2918 (ISSN-L)
  • 1349-7235
OpenAlex
W1984521040
Cited by
35
References
15
Citations by year
2024: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 7 · 2018: 4 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 4 · 2013: 1
FWCI
2.06
Type
journal article
Language
en
Open access
Locations
  • Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
  • Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
Keywords
aceruloplasminemia, deferasirox, oral iron chelation, homozygous mutation, iron overload, choreoathetosis, gait instability, cognitive impairment, refractory anemia, neurological disorders
MeSH terms
Deferasirox, Administration, Oral, Benzoates, Ceruloplasmin, Humans, Iron Chelating Agents, Male, Middle Aged, Mutation, Triazoles, Treatment Outcome, Iron Metabolism Disorders, Neurodegenerative Diseases

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