AUTHOR=Walker Ruth H. , Barreto Mariana , Bateman James R. , Bustamante M. Leonor , Chiu Graham , Feitell Scott , Frey Beat M. , Guerra Patricio , Guerrero Sofia , Jung Hans H. , Maldonado Fernando , Meyer Eduardo , Miranda Marcelo , McFarland Emelie , Oates Patricia , Ochoa Gorka , Olsson Karin , Paucar Martin , Proschle Jonatan Alvarez , Sammler Esther M. , Troncoso Monica , Wu-Wallace Rachel , Young Leo , Vege Sunitha , Westhoff Connie M. , Danek Adrian TITLE=The protean presentations of XK disease (McLeod syndrome): a case series with new observations and updates on previously reported families JOURNAL=Frontiers in Neuroscience VOLUME=Volume 18 - 2024 YEAR=2024 URL=https://www.frontiersin.org/journals/neuroscience/articles/10.3389/fnins.2024.1408105 DOI=10.3389/fnins.2024.1408105 ISSN=1662-453X ABSTRACT=XK disease is a very rare, multi-system disease, which can present with a wide spectrum of symptoms. This disorder can also be identified pre-symptomatically with the incidental detection of serological abnormalities when typing erythrocytes in peripheral blood, or on other routine laboratory testing. Increasing awareness of this disorder and improved access to genetic testing are resulting in increasing identification of affected patients and families. Here we provide updates to some previously-reported families and patients and provide additional clinical details. We also report four new cases with a variety of presentations, one of whom had a novel mutation.