Skip to main content

Menkes Syndrome (Kinky Hair Disease; Trichothiodystrophy)

  • Chapter
  • First Online:
Neurocutaneous Disorders

Abstract

Menkes disease, also known as kinky hair disease (OMIM 309400), is a lethal X-linked recessive neurodegenerative disease of impaired copper transport. Menkes first described the disease in 1962, followed by Danks’ keen observation in 1973. The incidence of Menkes disease in Europe is approximately 1 in 300,000 live births, caused by mutations in the Xq13.3 gene ATP7A. Clinical symptoms, in addition to pili torti (kinky hair), begin at 2–3 months of age with loss of developmental milestones, truncal hypotonia, seizures, urologic problems, recurrent infections, and failure to thrive. Milder variants of Menkes disease include the occipital horn syndrome (also known as X-linked cutis laxa or Ehlers-Danlos type 9). The clinical characteristics, pathophysiology, diagnosis, and management options are reviewed in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Patel P, Prabhu AV, Thomas G. Benedek TG. The history of John Hans Menkes and kinky hair syndrome. JAMA Dermatol 2017; 153: 54.

    Google Scholar 

  2. Tümer Z, Møller LB. Menkes disease. Eur J Hum Genet. 2010;18:511–8.

    Article  PubMed  Google Scholar 

  3. Vairo FPE, Chwal BC, Perini S, et al. A systematic review and evidence-based guideline for diagnosis and treatment of Menkes disease. JAM Mol Genet Metab. 2019;126:6–13.

    Article  CAS  Google Scholar 

  4. Jones C, Daly N, Cobine P, et al. Structure and metal binding studies of the second copper binding domain of the Menke’s ATPase. J Structural Biol. 2003;143:209–18.

    Article  CAS  Google Scholar 

  5. Danks DM, Cartwright E, Stevens BJ. Menkes’ steely-hair (kinky-hair) disease. Lancet. 1973;21:891.

    Article  Google Scholar 

  6. De Bie P, Muller P, Wijmenga C, Klomp LW. Molecular pathogenesis of Wilson and Menkes disease: correlation of mutations with molecular defects and disease phenotypes. J Med Genet. 2007;44:673–88.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Møller LB, Tümer Z, Lund C. Similar splice-site mutations of the ATP7A gene lead to different phenotypes: classical Menkes disease or occipital horn syndrome. Am J Hum Genet. 2000;66:1211–20.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Petris MJ, Mercer JF. The Menkes protein (ATP7A; MNK) cycles via the plasma membrane both in basal and elevated extracellular copper using a C-terminal di-leucine endocytic signal. Hum Mol Genet. 1999;8:2107–15.

    Article  CAS  PubMed  Google Scholar 

  9. Tümer Z, Møller LB, Horn N. Mutation spectrum of ATP7A, the gene defective in Menkes disease. Adv Exp Med Biol. 1999;448:83–95.

    Article  PubMed  Google Scholar 

  10. Kodama H, Murata Y. Molecular genetics and pathophysiology of Menkes disease. Pediatr Int. 1999;41:430–5.

    Article  CAS  PubMed  Google Scholar 

  11. Kodama H, Murata Y, Kobayashi M. Clinical manifestations and treatment of Menkes disease and its variants. Pediatr Int. 1999;41:423–9.

    Article  CAS  PubMed  Google Scholar 

  12. Smpokou P, Samanta M, Berry GT, et al. Menkes disease in affected females: the clinical disease spectrum. Am J Med Genet A. 2015;167A:417–20.

    Article  PubMed  Google Scholar 

  13. Hart DB. Menkes syndrome: an updated review. J Amer Academy Dermatol. 1983;9:145–52.

    Article  CAS  Google Scholar 

  14. Tümer Z, Horn N. Menkes disease: recent advances and new aspects. J Med Genetics. 1997;34:265–74.

    Article  Google Scholar 

  15. Ferreira RC, Heckenlively JR, Menkes JH. Menkes disease. New ocular and electroretinographic findings. Ophthalmology. 1998;105:1076–8.

    Article  CAS  PubMed  Google Scholar 

  16. Gasch AT, Kaler SG, Kaiser-Kupfer M. Menkes disease [letter; comment]. Ophthalmology. 1999;106:442–3.

    Article  CAS  PubMed  Google Scholar 

  17. Bahi-Buisson N, Kaminska A, Nabbout R, et al. Epilepsy in Menkes disease: analysis of clinical stages. Epilepsia. 2006;47:380–6.

    Article  PubMed  Google Scholar 

  18. Verrotti A, Cusmal R, Darra F, et al. Epilepsy in Menkes disease: an electroclinical long-term study of 28 patients. Epilepsy Res. 2014;108:1597–603.

    Article  PubMed  Google Scholar 

  19. Kim MY, Kim JH, Cho MH, et al. Urological problems in patients with Menkes disease. J Korean Med Sci. 2018;34:e4.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Waggoner DJ, Bartnikas TB, Gitlin JD. The role of copper in neurodegenerative disease. Neurobiol Dis. 1999;6:221–30.

    Article  CAS  PubMed  Google Scholar 

  21. Schlief ML, Gitlin JD. Copper homeostasis in the CNS: a novel link between the NMDA receptor and copper homeostasis in the hippocampus. Mol Neurobiol. 2006;33:81–90.

    Article  CAS  PubMed  Google Scholar 

  22. Aoki T, ALIA. Wilson's disease and Menkes disease. Pediatr Int. 1999;41:403–4.

    Article  CAS  PubMed  Google Scholar 

  23. Goodyer ID, Jones EE, Monaco AP. Characterization of the Menkes protein copper-binding domains and their role in copper-induced protein relocalization. Hum Mol Genet. 1999;8:1473–8.

    Article  CAS  PubMed  Google Scholar 

  24. Menkes JH. Menkes disease and Wilson disease: two sides of the same copper coin. Part I: Menkes disease. Eur J Paediatr Neurol. 1999;3:147–58.

    Article  CAS  PubMed  Google Scholar 

  25. Martinelli D, Travaglini L, Drouin CA, et al. MEDNIK syndrome: a novel defect of copper metabolism treatable by zinc acetate therapy. Brain. 2013;136:872–81.

    Article  PubMed  Google Scholar 

  26. Ambrosini L, Mercer JF. Defective copper-induced trafficking and localization of the Menkes protein in patients with mild and copper-treated classical Menkes disease. Hum Mol Genet. 1999;8:1547–55.

    Article  CAS  PubMed  Google Scholar 

  27. Kaler SG. Metabolic and molecular bases of Menkes disease and occipital horn syndrome. Pediatr Dev Pathol. 1998;1:85–98.

    Article  CAS  PubMed  Google Scholar 

  28. Mercer JF, Ambrosini L, Horton S. Animal models of Menkes disease. Adv Exp Med Biol. 1999;448:97–108.

    Article  CAS  PubMed  Google Scholar 

  29. Pedespan JM, Jouaville LS, Cances C. Menkes disease: study of the mitochondrial respiratory chain in three cases. Eur J Paediatr Neurol. 1999;3:167–70.

    Article  CAS  PubMed  Google Scholar 

  30. Petris MJ, Mercer JF, Camakaris J. The cell biology of the Menkes disease protein. Adv Exp Med Biol. 1999;448:53–66.

    Article  CAS  PubMed  Google Scholar 

  31. Suzuki M, Gitlin JD. Intracellular localization of the Menkes and Wilson’s disease proteins and their role in intracellular copper transport. Pediatr Int. 1999;41:436–42.

    Article  CAS  PubMed  Google Scholar 

  32. Geller TJ, Pan Y, Martin DS. Early neuroradiologic evidence of degeneration in Menkes’ disease. Pediatr Neurol. 1997;17:255–8.

    Article  CAS  PubMed  Google Scholar 

  33. Kodama H, Sato E, Yanagawa Y, et al. Biochemical indicator for evaluation of connective tissue abnormalities in Menke’s disease. J Pediatr. 2003;142:726–8.

    Article  CAS  PubMed  Google Scholar 

  34. Kaler SG, Holmes CS. Catecholamine metabolites affected by the copper-dependent enzyme dopamine-beta-hydroxylase provide sensitive biomarkers for early diagnosis of Menkes disease and viral-mediated ATP7A gene therapy. Adv Pharmacol. 2013;68:223–33.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Yokoyama A, Ohno K, Hirano A, et al. Cerebellar expression of copper chaperone for superoxide, cytosolic cu/zn-superoxide dismutase, 4-hydroxy-2-nonenal, acrolein and heat shock protein 32 in patients with Menkes kinky hair disease: immunohistochemical study. Yonago Acta Med. 2014;57:23–35.

    Google Scholar 

  36. Smith VV, Anderson G, Malone M. Light microscopic examination of scalp hair samples as an aid in the diagnosis of pediatric disorders: retrospective review of more than 300 cases from a single Centre. J Clin Pathol. 2005;58:1294–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Rudnicka L, Olszewska M, Waśkiel A, Rakowska A. Trichoscopy in hair shaft disorders. Dermatol Clin. 2018;36:421–30.

    Article  CAS  PubMed  Google Scholar 

  38. Kim OH, Suh JH. Intracranial and extracranial MR angiography in Menkes disease. Pediatr Radiol. 1997;27:782–4.

    Article  CAS  PubMed  Google Scholar 

  39. Rangarh P, Kohl N. Neuroimaging findings in Menkes disease: a rare neurodegenerative disorder. BMJ Case Rep. 2018;22:2018.

    Google Scholar 

  40. Seshadri R, Bindu PS, Gupta AK. Teaching neuroimages: Menkes kinky hair syndrome. Neurology. 2013;81:e12–3.

    Article  PubMed  Google Scholar 

  41. Kaler SG. Neurodevelopment and brain growth in classic Menkes disease is influenced by age and symptomatology at initiation of copper treatment. J Trace Elem Med Biol. 2014;28:427–30.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Kim B-E, Smith K, Petris MJ. A copper treatable Menkes disease mutation associated with defective trafficking of a functional MENKES copper ATPase. J Med Genetics. 2003;40:290–5.

    Article  CAS  Google Scholar 

  43. Lem KE, Brinster LR, Tjurmina O, et al. Safety of intracerebroventricular copper histidine in adult rats. Mol Genet Metab. 2007;91:30–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Ogata R, Chong PF, Maeda K, et al. Long surviving classical Menkes disease treated with weekly intravenous copper therapy. J Trace Elem Med Biol. 2019;54:172–4.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christos P. Panteliadis .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Panteliadis, C.P., Hagel, C. (2022). Menkes Syndrome (Kinky Hair Disease; Trichothiodystrophy). In: Panteliadis, C.P., Benjamin, R., Hagel, C. (eds) Neurocutaneous Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-87893-1_43

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-87893-1_43

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-87892-4

  • Online ISBN: 978-3-030-87893-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics