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autosomal recessive lysosomal storage disease Accumulation of glucocerebrosidase in lysosomes. ashkenazi jews (eastern european) Sxs - skeletal disease (avascular necrosis, bone pain), anemia, thrombocytopenia, HSM is MC sign. Marrow biopsy shows lipid laden macrophages stain + w/ PAS. |
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X-linked recessive lysosomal storage disease Deficient alpha-galactosidase A -> accumulation of ceramide trihexoside in lysosomes. Sxs - peripheral neuropathy of hands and feet, angiokeratomas, telangiectasias, LV hypertrophy, proteinuria. VSM accumulation -> occlusion, ischemia, infarction Confirm w/ low alpha glactosidase A activity in leukocytes |
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autosomal recessive lysosomal storage disease Deficient beta-galactocerebrosidase -> accumulation of galactocerebroside. Sxs - peripheral neuropathy (in all pts), development delay, optic atrophy, demyelination and PAS + multinucleated globoid cells. Present in first 6 months Confirm w/ low beta-galactocerebrodase activity |
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autosomal recessive lysosomal storage disease deficient sphingomyelinase -> accumulation of sphingomyelin in lysosomes. ashkenazi jews Sxs - progressive neurodegeneration, HSM, cherry red spot, loss of early motor skills in early life, peripheral neuropathy seen by hypotonia and absent reflexes. Confirm - large lipid laden foam cells in RE system. |
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autosomal recessive storage disease Deficient hexosaminidase A. accumulated GM2 ganglioside sxs - progressive neurodegeneration, develop delay, cherry red spot, onion skinning lysosomes. No HSM (opposite of NP). seizures, spasticity, blindness, dementia are late. pt dies from bronchopneumonia by 4. ashkenazi jews |
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