{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T04:35:41Z","timestamp":1770438941013,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2012,5,8]],"date-time":"2012-05-08T00:00:00Z","timestamp":1336435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>Rectal biopsy is usually performed for <jats:italic>in vivo<\/jats:italic> diagnosis of Kufs disease (<jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>). We evaluated the usefulness of rectal biopsy in the diagnosis of such condition by comparing ultrastructural data of patients with suspicion of <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content> with those of control subjects. Furthermore, we reviewed literature data concerning the value of such a diagnostic procedure in the diagnosis of <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010five subjects were enrolled and underwent rectal biopsy. Of these, 13 had a clinical picture in keeping with <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>, whereas 52, affected by Irritable Bowel Syndrome, constituted the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ultrastructural analysis evidenced fingerprint (<jats:styled-content style=\"fixed-case\">FP<\/jats:styled-content>) inclusions in 12 subjects, 4\/13 with suspicion of <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content> and 8\/52 controls. In patients, <jats:styled-content style=\"fixed-case\">FP<\/jats:styled-content>s were mainly located in vascular smooth muscle cells (<jats:styled-content style=\"fixed-case\">VSMC<\/jats:styled-content>) while in controls they were mostly found in pericytes and <jats:styled-content style=\"fixed-case\">VSMC<\/jats:styled-content>. No <jats:styled-content style=\"fixed-case\">FP<\/jats:styled-content>s were found in one patient with genetically confirmed <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>. In literature, we identified 14 <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content> patients who underwent rectal biopsy. In most reports, ultrastructural features were not systematically analyzed or described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Fingerprints are the most common ultrastructural finding in rectal biopsy in patients with suspicion of <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>. However, their presence in pericytes and <jats:styled-content style=\"fixed-case\">VSMC<\/jats:styled-content> is not specific for <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content> because they may be found in controls subjects. Our literature review revealed that data on the value of rectal biopsy in the diagnosis of <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content> are scarce. In light of these findings, the relevance of rectal biopsy in such condition should be re\u2010evaluated.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1468-1331.2012.03748.x","type":"journal-article","created":{"date-parts":[[2012,5,8]],"date-time":"2012-05-08T12:57:13Z","timestamp":1336481833000},"page":"1331-1336","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Usefulness of rectal biopsy for the diagnosis of Kufs disease: a controlled study and review of the literature"],"prefix":"10.1111","volume":"19","author":[{"given":"E.","family":"Ferlazzo","sequence":"first","affiliation":[{"name":"Institute of Neurology Magna Gr\u00e6cia University  Catanzaro Italy"},{"name":"Regional Epilepsy Centre \u201cBianchi\u2010Melacrino\u2010Morelli\u201d Hospital  Reggio Calabria Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Gasparini","sequence":"additional","affiliation":[{"name":"Institute of Neurology Magna Gr\u00e6cia University  Catanzaro Italy"},{"name":"Regional Epilepsy Centre \u201cBianchi\u2010Melacrino\u2010Morelli\u201d Hospital  Reggio Calabria Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Pasquinelli","sequence":"additional","affiliation":[{"name":"Department of Hematology, Oncology and Clinical Pathology, Policlinico S. Orsola University of Bologna  Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Labate","sequence":"additional","affiliation":[{"name":"Institute of Neurology Magna Gr\u00e6cia University  Catanzaro Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Gambardella","sequence":"additional","affiliation":[{"name":"Institute of Neurology Magna Gr\u00e6cia University  Catanzaro Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Sofia","sequence":"additional","affiliation":[{"name":"Institute of Neurology University of Catania  Catania Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Cianci","sequence":"additional","affiliation":[{"name":"Institute of Neurology Magna Gr\u00e6cia University  Catanzaro Italy"},{"name":"Regional Epilepsy Centre \u201cBianchi\u2010Melacrino\u2010Morelli\u201d Hospital  Reggio Calabria Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Branca","sequence":"additional","affiliation":[{"name":"Regional Epilepsy Centre \u201cBianchi\u2010Melacrino\u2010Morelli\u201d Hospital  Reggio Calabria Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Quattrone","sequence":"additional","affiliation":[{"name":"Institute of Neurology Magna Gr\u00e6cia University  Catanzaro Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"Aguglia","sequence":"additional","affiliation":[{"name":"Institute of Neurology Magna Gr\u00e6cia University  Catanzaro Italy"},{"name":"Regional Epilepsy Centre \u201cBianchi\u2010Melacrino\u2010Morelli\u201d Hospital  Reggio Calabria Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,5,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1750-3639.2004.tb00499.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/111.1.27"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.51.4.1180"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1750-3639.2008.00160.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000335164.02634.f6"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1750-3639.1998.tb00140.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/usp.28.1.43.48"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajhg.2011.04.004"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/100.1.137"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004010050866"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780199590018.003.0014"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00691807"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.54.7.655-a"},{"key":"e_1_2_7_15_1","first-page":"33","article-title":"MRI and computer\u2010assisted tomography in Kufs disease. 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