@article{van Os_van Aerde_van Gaalen_Merkus_Silveira-Moriyama_Tajudin_van de Warrenburg_Weemaes_Dekker_Willemsen_2020, title={Diagnosis and Management of Ataxia-Telangiectasia in Resource-Limited Settings}, volume={1}, url={https://jicna.org/index.php/journal/article/view/jicna-2020-181}, DOI={10.17724/jicna.2020.181}, abstractNote={<p>Ataxia-telangiectasia (A-T) is an autosomal recessive disorder linked to mutations in the <em>ATM</em> gene, and is characterized by neurodegeneration with an early onset cerebellar syndrome, hyperkinetic movement disorders, neuropathy, and oculocutaneous telangiectasia. Immunodeficiency, pulmonary disease, growth failure, diabetes mellitus, increased malignancy risk and hypersensitivity to ionizing radiation complicate the clinical picture. Serum alpha-fetoprotein levels are increased in patients with A-T and can therefore serve as a diagnostic marker for the disease. In resource-limited settings, diagnosis and management of patients with a rare and complex disorder such as A-T may be extremely challenging. This expert opinion-based guideline aims to give an overview of diagnosis and management of A-T in resource-limited settings, by prioritizing different options based on medical necessity, availability, and costs.</p>}, number={1}, journal={Journal of the International Child Neurology Association}, author={van Os, Nienke J.H. and van Aerde, Koen J and van Gaalen, Judith and Merkus, Peter J and Silveira-Moriyama, Laura and Tajudin, Tajul A and van de Warrenburg, Bart P.C. and Weemaes, Corry M.R. and Dekker, Marieke C and Willemsen, Michèl A.A.P.}, year={2020}, month={May} }