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From Unità Operativa Dipartimentale di Malattie Metaboliche (Drs. Bembi, Ciana, Martini, and Pittis), Unità Operativa di Neuropsichiatria Infantile (Dr. Carrozzi), I.R.C.C.S. Burlo Garofolo, Trieste; Dipartimento di Medicina Clinica e Neurologia (Drs. Zambito Marsala, Zorzon, Gioulis, and Capus), Università degli Studi di Trieste, Italy; and Clinical Neuroscience Branch NIMH (Dr. Sidransky), Bethesda, MD.
Address correspondence and reprint requests to Dr. Bruno Bembi, Unità Operativa Dipartimentale di Malattie Metaboliche, Istituto di Ricerca e Cura a Crattere Scientifico "Burlo Garofolo," via dellIstria 65/1, 34137 Trieste, Italy; e-mail: bembi{at}burlo.trieste.it
The association between type 1 Gaucher disease and PD has been reported in the literature. The clinical picture is characterized by the predominance of bilateral akinetic-rigid signs and poor response to levodopa therapy. The authors describe four patients (two siblings) with type 1 Gaucher disease presenting with the following signs of typical PD: asymmetric onset of rigidity, resting tremor, bradykinesia, and a favorable response to Parkinson therapies.
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