Abstract
Six patients with Menkes syndrome are described, who differ from patients with the classical form of Menkes syndrome because of their longer survival; some of them also exhibited a milder manifestation of symptoms. Based on the present data and a summary of seven case reports describing Menkes patients with long survival, it may be possible to divide these patients into two subgroups:one group of severely affected patients with long survival and another group of very mildly affected patients with late onset of symptoms. Perhaps only the latter represents a true subgroup of Menkes syndrome. The possible benefits of copper therapy are discussed.
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Baerlocher KE, Steinmann B, Rao VH, Gitzelmann R, Horn N (1983) Menkes' disease: clinical, therapeutic and biochemical studies. J Inherited Metab Dis 6[Suppl 2]:87–88
Byers PH, Narayanan AS, Bornstein P, Hall JG (1976) An X-linked form of cutis laxa due to deficiency of lysyl oxidase. Birth Defects 12:293–298
Byers PH, Siegel RC, Holbrook KA, Narayanan AS, Bornstein P, Hall JG (1980) X-linked cutis laxa. Defective cross-link formation in collagen due to decreased lysyl oxidase activity. N Engl J Med 303:61–65
Collie WR, Goka TJ, Moore CM, Howell RR (1980) Hair in Menkes' disease: a comprehensive review. In: Brown AC, Crounse RG (eds) Hair, trace elements in human illness. Prayers Scientific, Bridgeport, pp 197–209
Daly WJ, Rabinovitch HH (1981) Urologic abnormalities in Menkes' syndrome. J Urol 126:262–264
Danks DM (1983) Hereditary disorders of copper metabolism in Wilson's disease and Menkes' disease. In: Stanbury JB, Wyngaarden JB, Fredrickson DS, Goldstein JL, Brown MS (eds) The metabolic basis of inherited disease. McGraw-Hill, New York, pp 1261–1268
Farrelly C, Stringer DA, Daneman A, Fitz CR, Sass-Kortsak A (1984) CT manifestations of Menkes' kinky hair syndrome (trichopoliodystrophy). J Can Assoc Radiol 35:406–408
Grover WD, Scrutton MC (1975) Copper infusion therapy in trichopoliodystrophy. J Pediatr 86:216–220
Haas RH, Robinson A, Evans K, Lascelles PT, Dubowitz V (1981) An X-linked disease of the nervous system with disorders of copper metabolism and features differing from Menkes' disease. Neurology 31:852–859
Harcke HT, Capitanio MA, Grover WD, Valdes-Dapena M (1977) Bladder diverticula and Menkes' syndrome. Radiology 124:459–461
Hunt DM (1974) Primary defect in copper transport underlies mottled mutants in the mouse. Nature 249:850–854
Kuivaniemi H, Peltonen L, Palotie A, Kaitila I, Kivirikko KI (1982) Abnormal copper metabolism and deficient lysyl oxidase activity in a heritable connective tissue disorder. J Clin Invest 69: 730–733
Lazoff SG, Rybak JJ, Parker BR, Luzzatti L (1975) Skeletal dysplasia, occipital horns, diarrhea and obstructive uropathy — a new hereditary syndrome. Birth Defects 11:71–74
Lucky AW, Hsia YE (1979) Distribution of ingested and injected radiocopper in two patients with Menkes' kinky hair disease. Pediatr Res 13:1280–1284
Nazif MM, Frankel HH, Medina J (1978) Kinky hair disease. Report of a case. Oral Surg 46:786–790
Nussbaumer A, Werder E, Weber H, Baerlocher K (1974) Schwerer Zerebralschaden, Minderwuchs und Pili Torti bei Hypokupränie (Kinky-Hair-Syndrome). Helv Paediatr Acta [Suppl 32]:25–26
Procopis P, Camakaris J, Danks DM (1981) A mild form of Menkes steely hair syndrome. J Pediatr 98:97–99
Sander C, Niederhoff H, Horn N (1988) Life duration and Menkes kinky hair syndrome: report of a 13 year course of this disease. Clin Genet 133:228–233
Sartoris DJ, Luzzati L, Weaver DD, Macfarlane JD, Hollister DW, Parker BR (1984) Type IX Ehlers-Danlos syndrome.A new variant with pathognomonic radiographic features. Radiology 152:665–670
Wehinger H, Witt J, Lösel I, Denz-Seibert G, Sander C (1975) Intravenous copper in Menkes' kinky-hair syndrome. Lancet I: 1143–1144
Westman JA, Richardson DC, Rennert OM, Morrow G(1988) A typical Menkes' steely hair disease. Am J Med Genet (in press)
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Gerdes, AM., Tønnesen, T., Pergament, E. et al. Variability in clinical expression of Menkes syndrome. Eur J Pediatr 148, 132–135 (1988). https://doi.org/10.1007/BF00445920
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DOI: https://doi.org/10.1007/BF00445920