FRDA Flashcards

1
Q

What is the mode of inheritance for FRDA?

A

Autosomal Recessive

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2
Q

Name 5 clinical features associated with FRDA

A

Slurred speech, muscle weakness, lower limbs spasticity, scoliosis, cardiomyopathy (2/3 patients), diabetes (30%), bladder dysfunction.

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3
Q

What is the age of onset for FRDA?

A

<25, Mean age is between 10-15 years of age.

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4
Q

25% of patients have atypical FRDA, how is atypical FRDA characterised?

A

Later age of onset, retained tendon reflexes or unusually slow disease progression.

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5
Q

What is the carrier frequency for FRDA?

A

1:100

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6
Q

Pathogenic variants in which gene causes FRDA?

A

FXN, which encodes a protein called Frataxin

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7
Q

Little is understood about the function of the Frataxin protein but it’s noted to be important in the _______ function.

A

Mitochondrial

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8
Q

The expansion of which triplet repeat is associated with FRDA?

A

GAA

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9
Q

In which intron does the expansion of the GAA triplet repeat cause FRDA?

A

Intron 1

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10
Q

If a diagnostic patient is shown to have a heterozygous GAA repeat expansion, is any further testing offered

A

Testing for point mutation in FXN gene

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11
Q

Are homozygous expansion and compound heterozygous patients clinically different?

A

No

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