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At least five brother-brother pairs, including one set of identical twins, and three brother-sister pairs with biochemically proven CPT deficiency have been described. 

Other patients had siblings with typical clinical symptoms of muscle CPT deficiency. 

The fact that only one of the two identical twins with biochemically proven CPT deficiency had clinical symptoms suggests that clinically silent forms of CPT deficiency might also exist.

In two families, clinically symptomatic CPT deficiency was present in father and son. In another family, mother and son were affected. Muscle CPT was markedly reduced in the son but intermediate in the mother. In another family, both mother and son were clinically affected and had a combined partial CPT and carnitine deficiencies.

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-Excerpted from the CPT chapter by S. Zierz in Myology, edited by Engel & Franzini-Armstrong (McGraw-Hill,1994) 
Related links:

How genetic disorders are inherited
Diagrams and explanations on the popular Blazing A Genetic Trail site. 

How are genetic disorders inherited?
Muscular Dystrophy Association article that traces  muscle disorders in several families. Includes graphic illustrations of dominant and recessive inheritance and how each form of inheritance works.

Heredity
Great explanations and illustrations from The Gene School site.

DNA from the beginning
A cool animated primer on the basics of DNA, genes and heredity.




To read more about the genetics of CPT deficiency, visit Keep the change, CPT espanol, Number please and Location, location, location.
Other families with multiple cases:  

A brother and sister in Belgium and Israel.

A brother and sister in Israel. 

Three brothers in England.

Two pairs of sisters in Canada.

A brother and sister in Canada.

A mother and son in the US.

Two brothers in the US.
 
Four pairs of brothers and sisters in the US.
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