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Long-Term Outcomes of Chenodeoxycholic Acid Therapy for Cerebrotendinous Xanthomatosis: A Nationwide Study on Prognostic Factors and Treatment Response    
Yazarlar (32)
Tanyel Zubarioglu
İstanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Turkey
Banu Kadıoğlu-Yılmaz
Selçuk Üniversitesi, Turkey
Engin Köse
Ankara Üniversitesi, Turkey
Pelin Teke-Kısa
Dokuz Eylül Üniversitesi, Turkey
Mehmet Cihan Balcı
İstanbul Tıp Fakültesi, Turkey
Havva Yazıcı
Ege University Medical School, Turkey
Burcu Özturk-Hişmi
Marmara Üniversitesi Tip Fakültesi, Turkey
Abdurrahman Akgün
Firat Üniversitesi Tip Fakültesi, Turkey
Deniz Kor
Çukurova Üniversitesi Tip Fakültesi, Turkey
Sevil Yıldız
University of Health Sciences, Turkey
Gonca Kılıç-Yıldırım
Eskişehir Osmangazi Üniversitesi, Turkey
Erdoğan Soyuçen
Akdeniz University, Faculty of Medicine, Turkey
Aylin Akçalı
Gaziantep Üniversitesi, Turkey
Yılmaz Yıldız
Hacettepe Üniversitesi, Turkey
Aslı Durmuş
University of Health Sciences, Turkey
Dilek Güneş
Bağcilar Eğitim ve Araştirma Hastanesi, Turkey
Pembe Soylu-Üstkoyuncu
University of Health Sciences, Turkey
Çiğdem Seher Kasapkara
Ankara Yildirim Beyazit University, Turkey
Şahin Erdöl
Bursa Uludağ Üniversitesi, Turkey
Emine Göksoy
Aydin Adnan Menderes University, Turkey
Halil Tuna Akar
Ankara Etlik City Hospital, Turkey
Haluk Gümüş
Selçuk Üniversitesi, Turkey
Ahmet Hakan Ekmekçi
Selçuk Üniversitesi, Turkey
Fatma Tuba Eminoğlu
Ankara Üniversitesi, Turkey
Nur Arslan
Dokuz Eylül Üniversitesi, Turkey
Haşmet Ayhan Hanağası
İstanbul Tıp Fakültesi, Turkey
Ebru Canda
Ege University Medical School, Turkey
Emine Genç
Marmara Üniversitesi Tip Fakültesi, Turkey
Prof. Dr. Işıl ÖZER Prof. Dr. Işıl ÖZER
Kafkas Üniversitesi, Türkiye
Ayşegül Gündüz
İstanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Turkey
Ertuğrul Kıykım
İstanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Turkey
Çiğdem Aktuğlu-Zeybek
İstanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Turkey
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 Uluslararası alan indekslerindeki dergilerde yayımlanan tam makale
Dergi Adı Journal of inherited metabolic disease
Dergi ISSN 0141-8955 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler
Makale Dili İngilizce
Basım Tarihi 07-2025
Cilt No 48
Sayı 4
Doi Numarası 10.1002/jimd.70069