disease 2,215 words KG: ent-dise-998d6a8a
Contents

Pelizaeus-Merzbacher Disease (PMD)

Disease Info
PrevalenceApproximately 1 in 100,000 to 1 in 400,000 in the general population (Bonkowsky et al., 2010)
Typical OnsetFirst year
InheritanceX-linked recessive; predominantly affects males
Carrier femalesHeterozygous females are usually asymptomatic but may develop late-onset progressive neurological symptoms, particularly those carrying point mutations
Most common mutation typePLP1 gene duplications account for approximately 60-70% of PMD cases
Geographic distributionReported worldwide across all ethnic groups
PresentationSimilar to classic PMD but with prominent peripheral neuropathy
CourseMilder CNS involvement than classic PMD but with significant peripheral nerve demyelination
CognitionSeverely impaired
SurvivalTypically death from respiratory complications during childhood, though attentive care can extend survival into the third decade
GeneticsPLP1 deletions or null mutations
Distinctive featurePeripheral neuropathy differentiates this from other forms
DatabasesOMIMOrphanetClinicalTrialsPubMed

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