KUČEROVÁ, Lenka, Jiří DOLINA, Milan DASTYCH, Daniel BARTUŠEK, Tomáš HONZÍK, Jan MAZANEC and Lumír KUNOVSKÝ. Mitochondrial Neurogastrointestinal Encephalomyopathy Imitating Crohn's Disease: A Rare Cause of Malnutrition. Journal of Gastrointestinal and Liver Diseases. CLUJ-NAPOCA: MEDICAL UNIV PRESS, 2018, vol. 27, No 3, p. 321-325. ISSN 1841-8724. Available from: https://dx.doi.org/10.15403/jgld.2014.1121.273.kuc.
Other formats:   BibTeX LaTeX RIS
Basic information
Original name Mitochondrial Neurogastrointestinal Encephalomyopathy Imitating Crohn's Disease: A Rare Cause of Malnutrition
Authors KUČEROVÁ, Lenka, Jiří DOLINA, Milan DASTYCH, Daniel BARTUŠEK, Tomáš HONZÍK, Jan MAZANEC and Lumír KUNOVSKÝ.
Edition Journal of Gastrointestinal and Liver Diseases, CLUJ-NAPOCA, MEDICAL UNIV PRESS, 2018, 1841-8724.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30219 Gastroenterology and hepatology
Country of publisher Romania
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.063
Doi http://dx.doi.org/10.15403/jgld.2014.1121.273.kuc
UT WoS 000444455800018
Keywords in English Genetic disease; MNGIE; thymidine phosphorylase; malnutrition; neuropathy; Crohn's disease; anorexia nervosa
Tags International impact
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 20/2/2019 16:20.
Abstract
Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) is a rare autosomal recessive disease caused by a mutation in the TYMP gene encoding thymidine phosphorylase. MNGIE causes gastrointestinal and neurological symptoms in homozygous individuals and is often misdiagnosed as anorexia nervosa, inflammatory bowel disease, or celiac disease. We present the case of a 26-year-old female with MNGIE, who was initially diagnosed with anorexia nervosa and Crohn's disease. The diagnosis of MNGIE was established by biochemical confirmation of elevated serum and urine thymidine and deoxyuridine levels after multiple examinations and several years of disease progression and ineffective treatment. Subsequent molecular genetic testing demonstrated a homozygous TYMP gene mutation. MNGIE should be considered in patients with unexplained malnutrition, intestinal dysmotility, and atypical neurological symptoms.
PrintDisplayed: 24/5/2024 21:09