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Erschienen in: Der Nervenarzt 2/2006

01.02.2006 | Übersichten

Das Chediak-Higashi-Syndrom

verfasst von: Dr. J. Wolf, C. Jacobi, H. Breer, A. Grau

Erschienen in: Der Nervenarzt | Ausgabe 2/2006

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Zusammenfassung

Das Chediak-Higashi-Syndrom (CHS) ist eine seltene autosomal rezessiv vererbte lysosomale Speicherkrankheit. Typische Symptome sind rezidivierende Infekte, ein okulokutaner Albinismus, vermehrte Blutungsneigung und neurologische Ausfälle. Die infantile Form dieser Erkrankung führt häufig zu einer lymphohistiozytären Infiltration multipler Organe und verläuft ohne Knochenmarktransplantation letal, während die adulte Form des CHS einen gutartigeren Verlauf nimmt. Hier stehen neurologische Störungen wie Polyneuropathie, Parkinson-Syndrom, Demenz und Ataxie im Vordergrund. Im jungen Erwachsenenalter sollte eine Kombination dieser neurologischen Ausfälle mit einem okulokutanen Albinismus oder rezidivierenden Infekten an ein CHS denken lassen. Diagnostisch wertvoll ist ein Blutausstrich mit eosinophilen, peroxidasepositiven Riesengranula in Leukozyten. In unserem Artikel fassen wir die derzeitigen Kenntnisse über diese Erkrankung zusammen und berichten über eigene Erfahrungen mit zwei adulten CHS-Patienten.
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Metadaten
Titel
Das Chediak-Higashi-Syndrom
verfasst von
Dr. J. Wolf
C. Jacobi
H. Breer
A. Grau
Publikationsdatum
01.02.2006
Erschienen in
Der Nervenarzt / Ausgabe 2/2006
Print ISSN: 0028-2804
Elektronische ISSN: 1433-0407
DOI
https://doi.org/10.1007/s00115-005-1989-3

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