Abstract
We describe two siblings, a boy and his younger sister, with degenerative neurological disturbances, hypocupraemia and hypobetalipoproteinaemia. The neurological features in both cases were developmental delay, dysarthria, hyperkinetics with an attention deficit, dysdiadochokinesis, night blindness, myoclonic jerks and convulsions. Their serum cooper levels did not increase despite administration of copper sulphate both orally or intravenously. The copper contents of the cultured fibroblasts in the patients were 1.5-fold that of controls.
Although neurological disorders associated with abnormal copper metabolism and inherited in an X-linked manner have been previously reported, this is the first report of a neurodegenerative disease concurrent with abnormal copper metabolism and hypobetalipoproteinaemia.
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Camakaris J, Danks DM, Ackland L, Cartwright E, Borger P, Cotton RGH (1980) Altered copper metabolism in cultured cells from human Menkes' syndrome and mottled mouse mutants. Biochem Genet 18:117–131
Chan W-Y, Garnica AD, Rennert OM (1978) Cell culture studies of Menkes kinky hair disease. Clin Chim Act 88:495–507
Danks DM (1983) Hereditary disorders of copper metabolism in Wilson's disease and Menkes' disease. In: Stanbury JB, Wyngaarden JB, Fredrickson DS, Goldstein JL, Brown MS (eds) Teh metabolic basis of inherited disease. McGraw-Hill, New York, pp 1251–1268
Danks DM, Stevens BJ, Campbell PE, Gillespie JM, Walker-Smith J, Blomfield J, Turner B (1972) Menkes' kinky-hair syndrome. Lancet I:1100–1103
Garnica AD (1984) The failure of parenteral copper therapy in Menkes kinky hair syndrome. Eur J Pediatr 142:98–102
Godwin-Austen RB, Robinson A, Evans K, Lascelles PT (1978) An unusual neurological disorder of copper metabolism clinically resembling Wilson's disease but biochemically a distinct entity. J Neurol Sci 39:85–98
Goka TJ, Stevenson RE, Hefferan PM, Howell RR (1976) Menkes disease: a biochemical abnormality in cultured human fibroblasts. Proc Nat Acad Sci USA 73:604–606
Grover WD, Scrutton MC (1975) Copper infusion therapy in trichopoliodystrophy. J Pediatr 86:216–220
Haas RH, Robinson A, Evans K, Lascelles PT, Dubowitz V (1981) An X-linked disease of the nervous system with disordered copper metabolism and features differing from Menkes disease. Neurology 31:852–859
Herbert PN, Assmann G, Gotto AM Jr, Fredrickson DS (1983) Familial lipoprotein deficiency: abetalipoproteinaemia, hypobetalipoproteinaemia, and Tangier disease. In: Stanbury JB, Wyngaarden JB, Fredrickson DS, Goldstein JL, Brown MS (eds) The metabolic basis of inherited disease. McGraw-Hill, New York, pp 589–621
Kodama H, Okabe I, Yanagisawa M, Kodama Y (1989) Copper deficiency in the mitochondria of cultured skin fibroblasts from patients with Menkes syndrome. J Inherited Metab Dis 12:386–389
Kodama H, Meguro Y, Abe T, Rayner MH, Suzuki K, Kobayashi S, Nishimura M (1991) Genetic expression of Menkes disease in cultured astrocytes of the macular mouse. J Inherited Metab Dis 14:896–901
Menkes JH, Alter M, Steigleder GK, Weakley DR, Sung JH (1962) A sex-linked recessive disorder with retardation of growth, peculiar hair, and focal cerebral and cerebellar degeneration. Pediatrics 50:764–779
Nadal D, Baerlocher K (1988) Menkes' disease: long-term treatment with copper and D-penicillamine. Eur J Pediatr 147: 621–625
Peltonen L, Kuivaniemi H, Palotie A, Horn N, Kaitila I, Kivirriko K (1983) Alterations in copper and collagen metabolism in the Menkes syndrome and a new subtype of the Ehlers-Danlos syndrome. Biochemistry 22:6156–6163
Procopis P, Camakaris J, Danks D (1981) Mild form of Menkes steely hair syndrome. J Pediatr 98:97–99
Wehinger H, Witt I, Losel I, Denz-Seibert G, Sander C (1975) Intravenous copper in Menkes' kinky-hair syndrome. Lancet I:1143–1144
Westman JA, Richardson DC, Rennert OM, Morrow G (1988) Atypical Menkes steely hair disease. Am J Med Genet 30:853–858
Willvonseder R, Goldstein NP, McCall JT, Yoss RE, Tauxe WN (1973) A hereditary disorder with dementia, spastic dysarthria, vertical eye movement paresis, gait disturbance, splenomegaly and abnormal copper metabolism. Neurology 23:1039–1049
Wilson SAK (1912) Progressive lenticular degeneration: a familial nervous disease associated with cirrhosis of the liver. Brain 34:295–309
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Iwakawa, Y., Shimohira, M., Kohyama, J. et al. Sibling cases of a degenerative neurological disease associated with hypocupraemia and hypobetalipoproteinaemia. Eur J Pediatr 152, 368–371 (1993). https://doi.org/10.1007/BF01956756
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DOI: https://doi.org/10.1007/BF01956756