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McLeod Syndrome (MLS) is a slowly progressive disease characterized by a spectrum of neurological manifestations, cardiac involvement in the form of cardiomyopathy or cardiac arrhythmias, and acanthocytosis. 3 The spectrum of clinical features is the result of deletions that affect the XK gene and adjacent genes located on the p21.1 region of the X chromosome. 5 Common manifestations of the disease include: elevated creatine kinase (CK) with or without muscle weakness, peripheral neuropathy, chorea, cognitive impairment, and psychiatric symptoms. The