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Familial amyloidosis of the Finnish type: clinical and neurophysiological features of two index cases
  1. Inês Antunes Cunha,
  2. Ana Brás,
  3. Fátima Silva and
  4. Anabela Matos
  1. Neurology Deparment, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
  1. Correspondence to Dr Inês Antunes Cunha; ines.antcunha{at}


Familial amyloidosis of the Finnish type (FAF) is a rare multisystemic disorder caused by mutations in the gelsolin gene. The clinical presentation is typically characterised by a triad of ophthalmic, neurological and dermatological findings. FAF has been reported in several countries, primarily in Finland and recently in Portugal. We report the first genetically confirmed cases of FAF from two unrelated families in our neuromuscular outpatient clinic. Gelsolin gene sequencing revealed the heterozygous gelsolin mutation (c.640G>A). The clinical features and the neurophysiological studies of two index patients and their relatives are presented. Obtaining an early diagnosis can be challenging, but FAF should be considered in the differential diagnosis of progressive bilateral facial neuropathy, even if there is no known Finnish ancestor.

  • Neuromuscular disease
  • Clinical neurophysiology
  • Neurology

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  • Contributors IAC drafted the manuscript and had an important role in acquisition, analysis and interpretation of data. AB drafted the manuscript, analysed and revised data critically for important intellectual content. FS revised data critically for important intellectual content. AM had an important role in acquisition, analysis and revised data critically for important intellectual content. All authors read and approved the final version of the manuscript. Supervised by AM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.