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. 2019 Nov 27;19:301. doi: 10.1186/s12883-019-1526-9

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© The Author(s). 2019

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — a MRI fluid-attenuated inversion recovery axial image shows atrophy of the caudate nuclei (arrowheads) and putamen (arrows) bilaterally. b Erythrocyte acanthocytosis present in a peripheral blood smear. c Flow cytometry revealed reduced Kell red blood cell antigens in the peripheral blood (red peak indicates the present case). d Sequencing of the XK gene disclosed mutation c.397C > T (p.Arg133Ter) in exon 2