Schizophrenia as a Manifestation of X-Linked McLeod-Neuroacanthocytosis Syndrome

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Sir: Neuroacanthocytosis syndromes represent a heterogeneous group of neurodegenerative disorders defined by the association of red blood cell (RBC) acanthocytosis and variable neurologic signs and symptoms.¹ A progressive chorea syndrome comparable to the prototype Huntington’s disease represents the core clinical feature of a subgroup of neuroacanthocytosis syndromes, including the autosomal recessive choreoacanthocytosis (MIM #200150),² the autosomal dominant Huntington’s disease-like disorder type 2 (MIM #606438),³ and the X-linked McLeod syndrome (MIM #314850).