Lysosomal Storage Disorders Flashcards
Fabry inheritance
XLR
Fabry gene
GLA
Fabry enzyme deficiency
Alpha galactosidase
Untreated symptoms of Fabry
Burning/painful episodes Small red-purple spots on skin Dyshydrosis Ocular opacities Renal failure Cardiovascular Cerebrovascular disease
Treatment of Fabry (Preventative)
ERT
Gaucher inheritance
AR
Gaucher gene
GBA
Gaucher enzyme deficiency
Glucocerebrosidase
Type 1 Gaucher untreated features
Bone disease HSM Cytopenias Pulmonary involvement Parkinsons No early neurodegeneration
Gaucher Type 2/3 untreated features
FTT Minimal development HSM Spasticity Opisthotonus
Preventative treatment Gaucher
ERT
BMT
Symptomatic treatment Gaucher
Splenectomy
Transplantation
Pain meds/joint replacement
Niemann Pick Disease inheritance
AR
NPD gene
SMPD1
NPD enzyme deficiency
Sphinomyelin phosphodiesterase
Untreated Type A NPD
Neurodegeneration
HSM
Pulmonary involvement
Untreated type B NPD
HSM
Pulmonary dysfunction
Abnormal lipids
Preventative treatment NPD
BMT
ERT
Treatment for symptomatic NPD
Platelet transfusion
Avoid splenectomy
Cholesterol lowering meds
Supplemental oxygen
Tay sachs inheritance
AR
Tay sachs gene
HEXA
Tay sachs enzyme deficiency
Hexosaminidase
Untreated tay sachs features
Neurodegeneration
No organomegaly
Cherry red spot
Supportive treatment for tay sachs
Anti-epileptic meds
Respiratory support
Supplemental nutrition
Krabbe disease inheritance
AR
Krabbe disease gene
GALC
Krabbe disease enzyme deficiency
Beta galactosidase
Untreated Krabbe disease
Irritability, FTT, stop developing
Neurodegeneration
Blind, deaf, death
Preventative treatment for Krabbe
HSCT
Possibly ERT
MLD inheritance
AR
MLD gene
ARSA
MLD enzyme deficiency
arylsulfatase
Untreated MLD
Weakness, falling, slurred speech, DD
Neurodegeneration, seizures, optic atrophy
Blindness, rigidity, death
Preventative MLD treatment
HSCT/BMT