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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Neuromuscular Diseases</journal-id><journal-title-group><journal-title xml:lang="en">Neuromuscular Diseases</journal-title><trans-title-group xml:lang="ru"><trans-title>Нервно-мышечные болезни</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2222-8721</issn><issn publication-format="electronic">2413-0443</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">117</article-id><article-id pub-id-type="doi">10.17650/2222-8721-2015-5-2-44-54</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>CLINICAL CASE</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЙ РАЗБОР</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Differential diagnosis of mitochondrial neurogastrointestinal encephalomyopathy. First clinical description in Russia</article-title><trans-title-group xml:lang="ru"><trans-title>Дифференциальная диагностика митохондриальной нейрогастроинтестинальной энцефаломиопатии. Первое клиническое описание в России</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kurbatov</surname><given-names>S. A.</given-names></name><name xml:lang="ru"><surname>Курбатов</surname><given-names>С. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Lenin Square 5a, 394018, Voronezh</p><p>Moskovsky Prospect 11, 394026, Voronezh</p><p> </p></bio><bio xml:lang="ru"><p>394018, Воронеж, пл. Ленина, 5А</p><p>394026, Воронеж, Московский проспект, 11</p></bio><email>kurbatov80@list.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Fedotov</surname><given-names>V. P.</given-names></name><name xml:lang="ru"><surname>Федотов</surname><given-names>В. П.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Moskovsky Prospect 151, 394066, Voronezh</p></bio><bio xml:lang="ru"><p>394066, Московский проспект, 151</p></bio><email>kurbatov80@list.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Tsygankova</surname><given-names>P. G.</given-names></name><name xml:lang="ru"><surname>Цыганкова</surname><given-names>П. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Moskvorech`e 1, 115478, Moscow</p></bio><bio xml:lang="ru"><p>115478, Москва, ул. Москворечье, 1</p></bio><email>kurbatov80@list.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Zakharova</surname><given-names>E. Y.</given-names></name><name xml:lang="ru"><surname>Захарова</surname><given-names>Е. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Moskvorech`e 1, 115478, Moscow</p></bio><bio xml:lang="ru"><p>115478, Москва, ул. Москворечье, 1</p></bio><email>kurbatov80@list.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Lipovka</surname><given-names>S. N.</given-names></name><name xml:lang="ru"><surname>Липовка</surname><given-names>С. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Lenin Square 5a, 394018, Voronezh</p></bio><bio xml:lang="ru"><p>394018, Воронеж, пл. Ленина, 5А</p></bio><email>kurbatov80@list.ru</email><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Regional Medical Diagnostic Centre&#13;
&#13;
LLT “Diagnostika-plus”</institution></aff><aff><institution xml:lang="ru">АУЗ ВО «Воронежский областной клинический консультативно-диагностический центр»&#13;
&#13;
OOO ДЦ «Диагностика плюс», Воронеж</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Regional Clinical Hospital</institution></aff><aff><institution xml:lang="ru">БУЗ ВО «Воронежская областная клиническая больница № 1»</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Russian Research Center for Medical Genetics RAMNS</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Медико-генетический научный центр»</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Regional Medical Diagnostic Centre</institution></aff><aff><institution xml:lang="ru">АУЗ ВО «Воронежский областной клинический консультативно-диагностический центр»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2015-06-29" publication-format="electronic"><day>29</day><month>06</month><year>2015</year></pub-date><volume>5</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>44</fpage><lpage>54</lpage><history><date date-type="received" iso-8601-date="2015-06-29"><day>29</day><month>06</month><year>2015</year></date><date date-type="accepted" iso-8601-date="2015-06-29"><day>29</day><month>06</month><year>2015</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2015, Kurbatov S.A., Fedotov V.P., Tsygankova P.G., Zakharova E.Y., Lipovka S.N.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2015, Курбатов С.А., Федотов В.П., Цыганкова П.Г., Захарова Е.Ю., Липовка С.Н.</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="en">Kurbatov S.A., Fedotov V.P., Tsygankova P.G., Zakharova E.Y., Lipovka S.N.</copyright-holder><copyright-holder xml:lang="ru">Курбатов С.А., Федотов В.П., Цыганкова П.Г., Захарова Е.Ю., Липовка С.Н.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://nmb.abvpress.ru/jour/article/view/117">https://nmb.abvpress.ru/jour/article/view/117</self-uri><abstract xml:lang="en"><p>Mitochondrial neurogastrointestinal encephalomyopathy syndrome (MNGIE) is a rare autosomal recessive progressive multisystem disorder. Most of MNGIE is caused by mutations in the gene encoding thymidine phosphorylase (TYMP), locus 22q13. Mitochondrial dysfunction represents multiple deletions and depletion of mtDNA. We present a case of MNGIE with a novel mutation in the position c.1001T&gt;G of TYMP gene, hypergonadotropic hypogonadism, decrement of compound muscle action potential following repetitive nerve stimulation on EMG which was not previously described in literature and differential diagnoses MNGIE with other conditions.</p></abstract><trans-abstract xml:lang="ru"><p/></trans-abstract><kwd-group xml:lang="en"><kwd>mitochondrial neurogastrointestinal encephalomyopathy syndrome</kwd><kwd>gene encoding thymidine phosphorylase mtDNA</kwd><kwd>mitochondrial DNA</kwd><kwd>decrement of the compound muscle action potential</kwd><kwd>leukoencephalopathy</kwd><kwd>cachexia</kwd><kwd>mitochondrial DNA depletion syndrome 1</kwd><kwd>polyn</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>митохондриальная нейрогастроинтестинальная энцефаломиопатия</kwd><kwd>ген тимидинфосфорилазы</kwd><kwd>митохондри- альная ДНК</kwd><kwd>декремент М-ответа</kwd><kwd>лейкоэнцефалопатия</kwd><kwd>кахексия</kwd><kwd>синдром истощения митохондриальной ДНК 1-го типа</kwd><kwd>полинейропатия</kwd><kwd>гипергонадотропный гипогонадиз</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. 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