Lysosomal Storage Diseases Flashcards

1
Q

Deficiency of alpha-galactosidase A

A

Fabry

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2
Q

Fabry disease leads to an accumulation of

A

ceremide trihexoside

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3
Q

What are the only two lysosomal storage diseases that are X-linked recessive?

A

Fabry disease and Hunter Syndrome (Hunters aim for the X)

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4
Q

What is the most common sphingolipidosis?

A

Gaucher disease

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5
Q

Gaucher disease is caused by a deficiency in

A

glucocerebrosidase

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6
Q

In Gaucher disease there is an accumulation of

A

glucocerebroside

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7
Q

What are the symptoms of gaucher disease?

A
  • Hepatosplenomegaly
  • Aseptic necrosis of femur
  • Gaucher cells (macrophages look like crumpled tissue paper)
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8
Q

Progressive neurodegeneration, foam cells and a cherry red spot on the macula?

A

Neimann-Pick disease

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9
Q

Deficiency in Neimann-Pick? Accumulation of?

A

Deficiency of sphingomyelinase leading to an accumulation of sphingomyelin

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10
Q

What is the major diference between the presenation of neimann-pick and Tay-Sachs?

A

NO HEPATOSPLENOMEGALY in Tay-Sachs

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11
Q

Deficiency of Hexosamidase A leads to an accumulation of what substrate?

A

GM2-Ganglioside

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12
Q

Deficiency of galactocerebrosidase leading to a buildup of galactocerebroside

A

Krabbe disease

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13
Q

Sx of Krabbe disease

A
  • peripheral neuropathy
  • developmental delay
  • Optic atrophy
  • Globoid cells
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14
Q

Peripheral demyelination with ataxia

A

metochromatic leukodystrophy

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15
Q

Arylsulfatase A deficiency leads to an accumulation of what substrate?

A

cerebroside sulfate

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16
Q

What are the two mucopolysaccharidoses?

A

Hunter and Hurler syndrome

17
Q

What is the most telling difference between hunter and hurler syndrome?

A

Hunter syndrome presents with no corneal clouding

Hurler syndrome presents WITH corneal clouding

18
Q

What is deficient in Hurler syndrome?

A

alpha-L-iduronidase

19
Q

Deficiency of alpha-L-iduronidase leads to an accumulation of what substrate?

A

Heparan sulfate and dermatan sulfate

20
Q

What are the Sx of hurler syndrome?

A

Gargoylism
corneal clouding
hepatosplenomegaly

21
Q

What is deficient in hunter syndrome

A

Iduronate sulfatase

Leads to the buildup of the same as Hunter syndrome–> heparan sulfate and darmatan sulfate

22
Q

Two diseases with cherry red spot on macula?

A

Tay-Sachs–> No hepatosplenomegaly

Niemann-Pick

23
Q

Corneal clouding- What enzyme is deficient? What builds up?

A

Hurler syndrome–> Alpha-L-Iduronidase deficiency buildup of Heparan sulfate and dermatan