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CPEO and Mitochondrial Myopathy in a Patient with DGUOK Compound Heterozygous Pathogenetic Variant and mtDNA Multiple Deletions.

ABSTRACT: The classic features of deoxyguanosine kinase (DGUOK) deficiency are infantile onset hepatic failure with nystagmus and hypotonia; mitochondrial DNA studies on affected tissue reveal mitochondrial DNA depletion. Later, it has been shown that the mutations in the same gene may present with adult-onset mitochondrial myopathy and mitochondrial DNA multiple deletions in skeletal muscle. Here we report the case of a 42-year-old Italian woman presenting with a chronic progressive external ophthalmoplegia and myopathy with mtDNA multiple deletions and the compound heterozygous c.462T>A (p.Asn154Lys) and c.707+2T>G pathogenic variants in DGUOK.

SUBMITTER: Montano V 

PROVIDER: S-EPMC6431376 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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CPEO and Mitochondrial Myopathy in a Patient with <i>DGUOK</i> Compound Heterozygous Pathogenetic Variant and mtDNA Multiple Deletions.

Montano V V   Simoncini C C   Calì Cassi L CL   Legati A A   Siciliano G G   Mancuso M M  

Case reports in neurological medicine 20190306

The classic features of deoxyguanosine kinase (<i>DGUOK</i>) deficiency are infantile onset hepatic failure with nystagmus and hypotonia; mitochondrial DNA studies on affected tissue reveal mitochondrial DNA depletion. Later, it has been shown that the mutations in the same gene may present with adult-onset mitochondrial myopathy and mitochondrial DNA multiple deletions in skeletal muscle. Here we report the case of a 42-year-old Italian woman presenting with a chronic progressive external ophth  ...[more]

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