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Red-flag symptom clusters in transthyretin familial amyloid polyneuropathy

dc.contributor.authorConceição, isabel
dc.contributor.authorGonzález-Duarte, Alejandra
dc.contributor.authorObici, Laura
dc.contributor.authorSchmidt, Hartmut H-J
dc.contributor.authorSimoneau, Damien
dc.contributor.authorOng, Moh-Lim
dc.contributor.authorAmass, Leslie
dc.date.accessioned2021-06-09T12:44:50Z
dc.date.available2021-06-09T12:44:50Z
dc.date.issued2016-03
dc.description© 2015 The Authors. Journal of the Peripheral Nervous System published by Wiley Periodicals, Inc. on behalf of Peripheral Nerve Society. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.pt_PT
dc.description.abstractTransthyretin familial amyloid polyneuropathy (TTR-FAP) is a rare, progressive, life-threatening, hereditary disorder caused by mutations in the transthyretin gene and characterized by extracellular deposition of transthyretin-derived amyloid fibrils in peripheral and autonomic nerves, heart, and other organs. TTR-FAP is frequently diagnosed late because the disease is difficult to recognize due to phenotypic heterogeneity. Based on published literature and expert opinion, symptom clusters suggesting TTR-FAP are reviewed, and practical guidance to facilitate earlier diagnosis is provided. TTR-FAP should be suspected if progressive peripheral sensory-motor neuropathy is observed in combination with one or more of the following: family history of a neuropathy, autonomic dysfunction, cardiac hypertrophy, gastrointestinal problems, inexplicable weight loss, carpal tunnel syndrome, renal impairment, or ocular involvement. If TTR-FAP is suspected, transthyretin genotyping, confirmation of amyloid in tissue biopsy, large- and small-fiber assessment by nerve conduction studies and autonomic system evaluations, and cardiac testing should be performed.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Peripher Nerv Syst. 2016 Mar;21(1):5-9pt_PT
dc.identifier.doi10.1111/jns.12153pt_PT
dc.identifier.eissn1529-8027
dc.identifier.issn1085-9489
dc.identifier.urihttp://hdl.handle.net/10451/48431
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherJohn Wiley & Sons, Inc.pt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/journal/15298027pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectDiagnosispt_PT
dc.subjectHereditary amyloidosispt_PT
dc.subjectTransthyretinpt_PT
dc.subjectTransthyretin familial amyloid neuropathypt_PT
dc.titleRed-flag symptom clusters in transthyretin familial amyloid polyneuropathypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage9pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage5pt_PT
oaire.citation.titleJournal of the Peripheral Nervous Systempt_PT
oaire.citation.volume21pt_PT
person.familyNameCONCEICAO
person.givenNameISABEL
person.identifier.orcid0000-0003-0934-9631
person.identifier.scopus-author-id6701694419
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication52ba30d8-6cbf-424d-b334-4d06a2ecc6e5
relation.isAuthorOfPublication.latestForDiscovery52ba30d8-6cbf-424d-b334-4d06a2ecc6e5

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