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Table 1 Brief summary of all siblings with clinical features of the disease

From: Case of cerebrotendinous xanthomatosis with giant xanthomas and literature review

Case

Age of death

Clinical features

Mignarri Suscipion Index

Genetic test

Second brother

40

According to the information received, it was learned that he had mental retardation, cataracts in both eyes, and swelling in the distal lower extremities

350

There had been no genetic testing

Our case

He is alive

He had xanthomas in both lower extremities,bilateral cataracts,osteoporosis and he was mental retardation

275

A genetic examination was requested and the CYP27A1 gene p.A216P (c.The mutation 646G > C) (CM044609) was detected as homozygous

Fourth brother

50

This sibling had bilateral cataracts, xanthoma in both lower extremities, gait imbalance (ataxia), a history of generalized tonic–clonic seizures

375

There had been no genetic testing

Fifth brother

48

This sibling had a history of cataracts in both eyes, mental retardation, epilepsy, and xanthomas in both lower extremities

375

There had been no genetic testing