Lysosomal storage disease Flashcards

1
Q

Which lysosomal storage disease is associated with renal failure

A

Fabry’s disease (treat with dialysis)

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2
Q

What are the only two X-linked recessive lysosomal storage diseases? What is the method of inheritance of the others?

A

Fabry’s and Hunter’s

Autosomal recessive.

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3
Q

What is the most common lysosomal storage disease?

A

Gaucher’s disease

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4
Q

Which 3 lysosomal storage diseases are associated with an early death (usually by age 3)

A

Tay Sachs
Niemann Pick
Krabbe’s disease

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5
Q

Which lysosomal storage disease is a demyelinating disease?

A

Metachromatic leukodystrophy

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6
Q
How might corneal clouding and mental retardation help distinguish between the mucopolysaccharidases?
Hurler's
Hunter's
Scheie's
(I-cell)
A

Hurler’s: corneal clouding and retardation
Hunter’s: retardation only
Scheie’s: corneal clouding only
(I-cell): clouding, with or without retardation (deficiency in mannose phosphorylation; death by age 6)

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7
Q

Which lysosomal storage disease is characterized by a deficiency in alpha-L-iduronidase

A

Hurler’s and Scheie’s

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8
Q

Which lysosomal storage disease is characterized by a deficiency in iduronate sulfatase

A

Hunter’s

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9
Q

Which lysosomal storage disease is characterized by a deficiency in arylsulfatase A

A

metachromatic leukodystrophy

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10
Q

Which lysosomal storage disease is characterized by a deficiency in alpha-galactosidase A

A

Fabry’s disease

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11
Q

Which lysosomal storage disease is characterized by a deficiency in Galactocerebrosidase (leading to galactocerebroside accumulation)

A

Crabie’s disease

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12
Q

Which lysosomal storage disease is characterized by a deficiency in beta-glucocerebrosidase (leading to glucocerebroside accumulation)

A

Gaucher’s disease

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13
Q

Which lysosomal storage disease is characterized by a deficiency in hexosaminidase

A

Tay-Sach’s

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14
Q

Which lysosomal storage disease is characterized by a deficiency in sphingomyelinase (leading to sphingomyelin accumulation)

A

Niemann-Pick’s disease

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15
Q

Characterized by an accumulation of GM2 ganglioside

A

Tay-Sach’s

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16
Q

Characterized by an accumulation of dermatin sulfate (3)

A

Hurler’s, Hunter’s, Scheie’s

17
Q

Which are particularly common among Ashkenazi Jews? (3)

A

Tay Sach’s
Niemann Pick
Gaucher’s

18
Q

Which has characteristic “crinkled paper cytoplasm?”

A

Gaucher’s

19
Q

What is the ddx for a cherry-red spot on the retina? (3)

A

Niemann-Pick
Tay-Sachs
Central retinal artery occlusion