Closed pnrobinson closed 4 months ago
@MickeySegal please check whether this refers to this finding: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9358195/
They don't mention axons. Our finding is based on https://www.ncbi.nlm.nih.gov/books/NBK1675/ "If no PLA2G6 pathogenic variants are identified but the evolving phenotype remains most consistent with INAD or atypical NAD, a biopsy for identification of dystrophic axons (axonal spheroids) can be considered. Electron microscopic (EM) examination of nerve ultrastructure should be done on one of the following preferred tissues: conjunctiva, skin, rectum, muscle, or other peripheral nerve (sural)."
@MickeySegal For conjunctival spheroids, this is what I am finding https://pubmed.ncbi.nlm.nih.gov/32076391/ I am wondering if this is not well defined enough to make a term at this time?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742877/ defines "Axonal spheroids are bubble-like biological features that form on most degenerating axons".
@MickeySegal -- but the above is axonal spheroids and this term request is for conjunctival spheroids?
As quoted above from https://www.ncbi.nlm.nih.gov/books/NBK1675/ , axonal spheroids can be detected in a conjunctival biopsy.
@MickeySegal ok, adding as a child of abn. neuron morphology since this is not a conjunctiva specific finding! Adding new term:
New term request Conjunctival biopsy: spheroids (segal_110421155504):