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. Author manuscript; available in PMC: 2012 Oct 21.
Published in final edited form as: N Engl J Med. 2008 Feb 7;358(6):605–614. doi: 10.1056/NEJMoa070613

Table 2.

Characteristics of 12 Patients Receiving a Diagnosis of Menkes Disease as Asymptomatic Newborns.*


Variable
Age at First
Treatment
ATP7A
Mutation
Serum
Copper
Urinaryβ2-Microglobulin
Age

Untreated Relatives
Patient
days mmol/liter mg/liter yr
   1 7 2757delAG 18.9±1.6 11.1 Died at 1.6 Brother with severe delays died at 3.1 yr
   2 14 Del ex1 8.1±1.2 5.3 8.6 Brother with severe delays died at 7 yr
   3 8 Del ex7–19 13.8±8.2 27.4 8.1 Brother with severe delays died at 9 mo
   4 22 G666R 17.9±5.9 34.5 8.0 Maternal uncle with severe delays died at 14 yr
   5 8 IVS9,DS,+6T→G 17.6±3.2 28.0 7.2 Brother with severe delays alive at 8 yr
   6 5 3936/7delT 15.9±8.3 36.6 6.8 Brother with severe delays died at 1 yr
   7 10 3060delT 12.8±1.5 Not measured 4.6 Two half-brothers with severe delays died at 1.5 yr and 3 yr
   8 10 G666R 19.1±2.7 60.9 5.2 First cousin with severe delays alive at 7 yr
   9 10 4246del15 14.1±3.3 1.2 2.9 Brother with severe delays died at 3 yr
   10 12 Q1385X 9.5±4.8 4.9 2.0 Maternal uncle with severe delays died at 3.2 yr
   11 10 3060delT 4.8±1.7 3.5 1.8 Two half-brothers with severe delays died at 1.5 yr and 3 yr
   12§ 7 Del ex20–23 17.0±0.4 49.2 1.5 Brother with severe delays died at 1.3 yr
Reference range, infants 11.0–23.6 0.0–0.3
Infants with untreated Menkes disease 1.6–8.3
*

Plus–minus values are means ±SD. Serum copper and urinary β2-microglobulin were measured while the patients were receiving copper treatment. Del denotes deletion, and ex exon.

To convert values for copper to micrograms per deciliter, divide by 157.4.

The maximum measured concentrations of urinary β2-microglobulin are shown. To convert values to nanomoles per liter, multiply by 84.75.

§

At 4 months of age, while receiving copper treatment, this patient had a serious adverse event (a small-bowel infarct) that was deemed unrelated to the research and from which he recovered fully.