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Case 1

PATIENT PROFILE:
30-YEAR OLD MARRIED FEMALE TEACHER
PRESENTED WITH PROGRESSIVE CHOREA AND
DEMENTIA
UNDERWENT SEVERAL TESTS:
AUTOSOMAL DOMINANT INHERITED
DISORDER
Question 1

What is the diagnosis? Explain the


pathophysiology of the condition.
Patient’s Diagnosis:

Huntington’s disease
Patient’s manifestation Symptoms of huntington’s disease

Chorea Involuntary jerking or writhing movements (chorea)

Dementia Decline in memory or other thinking skills


(Dementia)

Autosomal dominant inherited disorder expansion of a Expansion of a CAG trinucleotide repeat of the
CAG trinucleotide repeat that encodes for a huntingtin gene on chromosome 4.
polyglutamine tract.
Pathophysiology

 Huntington’s disease is an autosomal dominant inherited disorder


 Huntingtin gene on chromosome 4 (4p16.3). (expansion of a CAG trinucleotide
repeat that codes for a polyglutamine tract)
 Which causes an imbalance in the neurotransmitter in the basal ganglia
 Increase dopamine activity
 Reduced acetylcholine
 Reduced GABA
Pathophysiology

Chorea and dementia and


other nuerological
symptoms of Huntington’s
disease

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