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Long-Term Outcomes of Chenodeoxycholic Acid Therapy for Cerebrotendinous Xanthomatosis: A Nationwide Study on Prognostic Factors and Treatment Response    
Yazarlar (1)
Prof. Dr. Işıl ÖZER Prof. Dr. Işıl ÖZER
Kafkas Üniversitesi, Türkiye
Devamını Göster
Özet
Cerebrotendinous xanthomatosis (CTX) is a treatable neurometabolic disorder. Chenodeoxycholic acid (CDCA) is the first‐line treatment and can potentially halt disease progression if initiated before neurologic symptoms appear. This nationwide, multicenter study evaluates the long‐term effects of treatment in 86 genetically confirmed patients with CTX receiving CDCA for ≥ 6 months, focusing on neurologic and extraneurologic outcomes, prognostic factors, and biochemical response. Clinical and biochemical parameters were recorded at baseline and follow‐up, and neurological outcomes were assessed using neurological disability scores. Our results indicate a critical age of 28 years for the start of treatment. Patients diagnosed before 28 years showed 100% neurological stabilization or improvement, whereas patients diagnosed later had a higher rate of disease progression (p < 0.05). CDCA effectively ...
Anahtar Kelimeler
cerebrotendinous | chenodeoxycholic acid | CYP27A1 | prognosis | xanthomatosis
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Journal of Inherited Metabolic Disease
Dergi ISSN 0141-8955 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler
Dergi Grubu Q2
Makale Dili İngilizce
Basım Tarihi 07-2025
Cilt No 48
Sayı 4
Doi Numarası 10.1002/jimd.70069