• The clinical diagnosis of FA is following
  • Ataxia is the most common presenting symptom in early and late-onset (loss of proprioception, absent reflexes).
  • Cardiac features include non-specific T-wave abnormalities on EKG observed in almost all individuals and many individuals with left ventricular hypertrophy.
  • Scoliosis is common at clinical presentation and pes cavus also presents early in the disease.
  • Family history – FA is autosomal recessive so often there is no other history of ataxia in the family.
  • Differential Diagnoses — inherited Vitamin E deficiency, CoQ10 Deficiency, ataxia with oculomotor apraxia, spinocerebellar ataxias, multiple sclerosis.

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