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Title
Menkes disease
ImagePath
System
Copper transport disorder
Overview
Impaired copper absorption → defective cross‑linking of collagen & elastin.
Pathophysiology
X‑linked recessive ATP7A mutation; ↓activity of lysyl oxidase (copper cofactor).
Presentation
Brittle “kinky” hair, growth retardation, hypotonia, seizures, hypothermia, early death.
Diagnosis
Low serum copper & ceruloplasmin; ATP7A gene testing.
Management
Parenteral copper histidinate; supportive care.
Epidemiology
Ultra‑rare.
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