A clinical case of severe aromatic L-amino acid decarboxylase deficiency

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Abstract

We present a case of a rare disease, aromatic L-amino acid decarboxylase deficiency (AADCD), with delayed diagnosis even after a pathogenic mutation indicative of AADCD was found. In most cases, AADCD causes marked impairment of motor and psycho- speech development and is accompanied by severe episodes of dystonia – oculogyric crises. The careful attention of neurologists, pediatricians, geneticists, gastroenterologists, and pulmonologists in cases of a complex set of diverse symptoms determines the success of early diagnosis and the earliest possible prescription of modern gene replacement therapy for AADCD.

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O. A. Shidlovskaya

Yu.E. Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the N.I. Pirogov Russian National Research Medical University University

Author for correspondence.
Email: shidlovsckaya.oa@yandex.ru
ORCID iD: 0000-0003-2017-1651

2 Taldomskaya St., Moscow 125412

Russian Federation

S. B. Artemyeva

Yu.E. Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the N.I. Pirogov Russian National Research Medical University University

Email: fake@neicon.ru
ORCID iD: 0000-0002-8876-7462

2 Taldomskaya St., Moscow 125412

Russian Federation

E. D. Belousova

Yu.E. Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the N.I. Pirogov Russian National Research Medical University University

Email: fake@neicon.ru
ORCID iD: 0000-0003-3594-6974

2 Taldomskaya St., Moscow 125412

Russian Federation

Z. K. Gorchkhanova

Yu.E. Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the N.I. Pirogov Russian National Research Medical University University

Email: fake@neicon.ru
ORCID iD: 0000-0001-9286-7805

2 Taldomskaya St., Moscow 125412

Russian Federation

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Copyright (c) 2024 Shidlovskaya O.A., Artemyeva S.B., Belousova E.D., Gorchkhanova Z.K.

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