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Paediatria Croatica
Article . 2020 . Peer-reviewed
License: CC BY
Data sources: Crossref
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LANGUAGE DEVELOPMENT DISORDERS

Authors: Igor Prpić;

LANGUAGE DEVELOPMENT DISORDERS

Abstract

Neuronska ceroidna lipofuscinoza-tip 2 (CLN2) najčešća je dječja progresivna neurodegenerativna bolest. Glavna obilježja bolestiCLN2 su usporen razvoj govora koji prethodi epileptičkim napadajima, motoričkim poremećajima, progresivnom propadanju vida ikognitivnih funkcija te smrti u dobi rane adolescencije. Prosječno vrijeme od pojave prvih simptoma do postavljenja dijagnoze iznosi oko dvije godine. Kašnjenje u postavljanju dijagnoze odgađa terapijski pristup koji uključuje multidisciplinsku zdravstvenu skrb iučinkovitu primjenu enzimske nadomjesne terapije cerliponazom alfa (Brineura®). Dostupnost liječenja enzimskom nadomjesnomterapijom cerliponazom alfa svrstava CLN2 u skupinu lječivih neurodegenerativnih bolesti. U svake lječive i/ili potencijalno izlječiveprogresivne neurodegenrativne bolesti pravodobna dijagnoza je ključna, jer omogućuje liječenje u ranom stadiju bolesti. Prepoznavanje ranih simptoma od bitnog je značenja za usmjeravanje kliničara na odgovarajuće pretrage ili traženje dodatnog stručnogmišljenja. U sve djece s prvim neprovociranim epileptičkim napadajem u dobi između druge i četvrte godine, a izričito u one djecekoja dodatno u anamnezi imaju podatak o usporenom razvoju govora i/ili motoričke smetnje prvi korak u cilju rane i pravodobnedijagnoze je mjerenje aktivnosti enzima TTP1 putem suhe kapi krvi na fi ltarskom papiru, koji je dostupan u našoj sredini. Dodatnagenska analiza i nalaz patogenih mutacija u genu CLN2 potvrđuje dijagnozu. Podizanje svjesnosti o bolesti CLN2 kao lječivoj i potencijalno izlječivoj, te poštivanje predloženih smjernica u kliničkom pristupu zasigurno će pridonijeti tome da rana dijagnoza bolestiCLN2 postane naša stvarnost, a sve manje bude mit. Pravovremena i ispravna dijagnoza prvi je korak u poboljšanju cjelokupne skrbiza djecu oboljelu od bolesti CLN2 i njihove roditelje.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
hybrid