Hereditary ceruloplasmin deficiency
=Hereditary Ceruloplasmin Deficiency =
Hereditary ceruloplasmin deficiency is a rare genetic disorder characterized by the absence or malfunction of ceruloplasmin, a protein that plays a crucial role in iron metabolism. This condition leads to iron accumulation in various tissues, resulting in neurological and systemic symptoms.
Pathophysiology[edit | edit source]
Ceruloplasmin is a copper-binding glycoprotein that facilitates the transport of iron in the blood. It acts as a ferroxidase, converting ferrous iron (Fe__) to ferric iron (Fe__), which can then be bound by transferrin for transport. In hereditary ceruloplasmin deficiency, mutations in the CP gene lead to a lack of functional ceruloplasmin, disrupting iron homeostasis and causing iron to accumulate in the brain, liver, pancreas, and other organs.
Clinical Features[edit | edit source]
Patients with hereditary ceruloplasmin deficiency typically present with a combination of neurological and systemic symptoms. Common neurological manifestations include:
- Ataxia
- Dystonia
- Tremors
- Cognitive decline
Systemic symptoms may include:
- Diabetes mellitus
- Retinal degeneration
- Anemia
Diagnosis[edit | edit source]
Diagnosis of hereditary ceruloplasmin deficiency involves a combination of clinical evaluation, laboratory tests, and genetic analysis. Key diagnostic criteria include:
- Low or absent serum ceruloplasmin levels
- Elevated serum ferritin
- Genetic testing confirming mutations in the CP gene
Treatment[edit | edit source]
Currently, there is no cure for hereditary ceruloplasmin deficiency. Treatment focuses on managing symptoms and preventing complications. Therapeutic strategies may include:
- Iron chelation therapy to reduce iron overload
- Antioxidant therapy to mitigate oxidative stress
- Symptomatic treatment for neurological and systemic manifestations
Prognosis[edit | edit source]
The prognosis for individuals with hereditary ceruloplasmin deficiency varies depending on the severity of symptoms and the effectiveness of treatment. Early diagnosis and management are crucial to improving outcomes and quality of life.
See Also[edit | edit source]
External Links[edit | edit source]
NIH genetic and rare disease info[edit source]
Hereditary ceruloplasmin deficiency is a rare disease.
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Contributors: Prab R. Tumpati, MD