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Exome sequencing results in successful riboflavin treatment of a rapidly progressive neurological condition.

Publication ,  Journal Article
Petrovski, S; Shashi, V; Petrou, S; Schoch, K; McSweeney, KM; Dhindsa, RS; Krueger, B; Crimian, R; Case, LE; Khalid, R; El-Dairi, MA ...
Published in: Cold Spring Harb Mol Case Stud
October 2015

Genetically targeted therapies for rare Mendelian conditions are improving patient outcomes. Here, we present the case of a 20-mo-old female suffering from a rapidly progressing neurological disorder. Although diagnosed initially with a possible autoimmune condition, analysis of the child's exome resulted in a diagnosis of Brown-Vialetto-Van Laere syndrome 2 (BVVLS2). This new diagnosis led to a change in the therapy plan from steroids and precautionary chemotherapy to high-dose riboflavin. Improvements were reported quickly, including in motor strength after 1 mo. In this case, the correct diagnosis and appropriate treatment would have been unlikely in the absence of exome sequencing and careful interpretation. This experience adds to a growing list of examples that emphasize the importance of early genome-wide diagnostics.

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Published In

Cold Spring Harb Mol Case Stud

DOI

ISSN

2373-2873

Publication Date

October 2015

Volume

1

Issue

1

Start / End Page

a000257

Location

United States

Related Subject Headings

  • 3214 Pharmacology and pharmaceutical sciences
  • 3105 Genetics
 

Citation

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Petrovski, S., Shashi, V., Petrou, S., Schoch, K., McSweeney, K. M., Dhindsa, R. S., … Goldstein, D. B. (2015). Exome sequencing results in successful riboflavin treatment of a rapidly progressive neurological condition. Cold Spring Harb Mol Case Stud, 1(1), a000257. https://doi.org/10.1101/mcs.a000257
Petrovski, Slavé, Vandana Shashi, Steven Petrou, Kelly Schoch, Keisha Melodi McSweeney, Ryan S. Dhindsa, Brian Krueger, et al. “Exome sequencing results in successful riboflavin treatment of a rapidly progressive neurological condition.Cold Spring Harb Mol Case Stud 1, no. 1 (October 2015): a000257. https://doi.org/10.1101/mcs.a000257.
Petrovski S, Shashi V, Petrou S, Schoch K, McSweeney KM, Dhindsa RS, et al. Exome sequencing results in successful riboflavin treatment of a rapidly progressive neurological condition. Cold Spring Harb Mol Case Stud. 2015 Oct;1(1):a000257.
Petrovski, Slavé, et al. “Exome sequencing results in successful riboflavin treatment of a rapidly progressive neurological condition.Cold Spring Harb Mol Case Stud, vol. 1, no. 1, Oct. 2015, p. a000257. Pubmed, doi:10.1101/mcs.a000257.
Petrovski S, Shashi V, Petrou S, Schoch K, McSweeney KM, Dhindsa RS, Krueger B, Crimian R, Case LE, Khalid R, El-Dairi MA, Jiang Y-H, Mikati MA, Goldstein DB. Exome sequencing results in successful riboflavin treatment of a rapidly progressive neurological condition. Cold Spring Harb Mol Case Stud. 2015 Oct;1(1):a000257.

Published In

Cold Spring Harb Mol Case Stud

DOI

ISSN

2373-2873

Publication Date

October 2015

Volume

1

Issue

1

Start / End Page

a000257

Location

United States

Related Subject Headings

  • 3214 Pharmacology and pharmaceutical sciences
  • 3105 Genetics