Table 3

Contiguous Gene Syndrome (including McLeod Syndrome) complicating CGD

Clinical component

Evaluation (selected)


Myopathy

CPK level (serum)

EMG/NCS

Hemolytic Anemia

Reticulocyte cell count

Low haptoglobin

Acanthocytosis

Late-onset neurological syndrome

Cerebral atrophy

CT/MRI

Neuropathy

EMG/NCS

Huntington's chorea-like disease

CT/MRI

Neuropsychological and cognitive impairment

Neuropsychological testing

Myopathy/DMD

EMG/NCS

Muscle biopsy*

Seizures

EEG

Glomerulopathy with renal failure

Serum creatinine level

24 hour urine analysis

Renal imaging

+/- kidney biopsy

Cardiovascular disease

Cardiomyopathy

ECHO

Arrythmia

EPS


CPK = creatine phosphokinase; EMG/NCS = electromyography and nerve conduction study

CT = computed tomography; MRI = magnetic resonance imaging; EEG = electroencephalography

ECHO = echocardiography (transthoracic or transesophageal); EPS = electrophysiological studies

DMD = Duchenne muscular dystrophy; * = typical muscle histology of DMD and absent muscle dystrophin

Watkins et al. Clinical and Molecular Allergy 2011 9:13   doi:10.1186/1476-7961-9-13

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