GENETIC DISEASES WITH MORPHOLOGIC FINDINGS Esin Flashcards
autosomal recessive disease of galactose metabolism lack of the GALT
enzyme ?
GALACTOSEMIA
what are clinical features of galactosemia?
-failure of baby to thrive and grow
-vomiting and diarrhea with ingestion of milk
-jaundice & hepatomegaly during 1st week
-E.coli sepsis
what happens when galactose (from lactose) is omitted from a baby’s diet during first 2 yrs to suppress galactosemia?
speech disorder and gonadal failure (especially premature ovarian
failure) and, less commonly, by an ataxic condition.
in which organs does galactilol accumulate in galactosemia?
resulting in galactilol accumulate in liver, spleen, lens of the eye, kidney, cerebral cortex brain?
………………..are inborn errors of metabolism characterized by the accumulation of substrates in excess in various organs’ cells due to the defective functioning of lysosomes.
Lysosomal storage diseases (LSDs)
***which type of Neimann-Pick disease doesn’t involve neurologic involvement?
Neimann-pick type B
which type of Gaucher does not have neurologic impairments and which has?
Gaucher disease type I, which does not have neurologic involvement, and
types II and III, the so-called neuronopathic forms which both feature neurologic impairment.
A non-neuronopathic LSD is Type 1 Gaucher disease (β-glucocerebrosidase deficiency), which is common within the Ashkenazi Jewish community. The major cell type affected by glucosylceramide storage in this disease is the …………..whose dysfunction affects the production and turnover of cells belonging to the hematopoietic system. Gaucher cells infiltrate into various organs and affect the immune system, bone strength, spleen, and liver function
macrophage (“Gaucher cells”),
in which type of lysosomal storage disorders does cherry red spots appear on the retina?
TAY-SACHS DISEASE=GM2 GANLIOSIDOSIS
what are examples of lysosomal storage diseases?
Tay-Sachs Disease
Niemann-Pick Disease Type A&B
Gaucher Disease
Mucopolysaccharidoses
(+pompe disease)
………….:*Primary deficiency of acid sphingomyelinase
→ accumulation of sphingomyelin in Macrophage phagocytic system and neurons
–> presents with Zebra bodies (engorged secondary lysosomes)
NIEMANN-PICK DISEASE
……………..:characterized by defective degradation & excessive storage of Mucopolysaccharides
MUCOPOLYSACCHARIDOSES
which type of lysosomal storage disease presents with
skeletal deformities
Clouding of cornea,
joint stiffness
mental retardation
increased urinary excretion of Mucopolysaccharides?
MUCOPOLYSACCHARIDOSES
Hunter disease is which type of genetic mutation?
X-linked recessive
which type of disease presents with hypoglycemic baby?
glycogen storage disease