Fucosidosis type 2

Two siblings, 9 and 4 1/2 years old, had alpha-L-fucosidase deficiency, angiokeratoma, progressive psychomotor retardation, neurologic signs, coarse facila features, and dysostosis multiplex. It appears that genetic heterogeneity is present in fucosidosis; there are at least two types. In type 1, pa...

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Veröffentlicht in:Pediatrics (Evanston) 1976-02, Vol.57 (2), p.205-213
Hauptverfasser: Kousseff, B G, Beratis, N G, Strauss, L, Brill, P W, Rosenfield, R E, Kaplan, B, Hirschhorn, K
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container_end_page 213
container_issue 2
container_start_page 205
container_title Pediatrics (Evanston)
container_volume 57
creator Kousseff, B G
Beratis, N G
Strauss, L
Brill, P W
Rosenfield, R E
Kaplan, B
Hirschhorn, K
description Two siblings, 9 and 4 1/2 years old, had alpha-L-fucosidase deficiency, angiokeratoma, progressive psychomotor retardation, neurologic signs, coarse facila features, and dysostosis multiplex. It appears that genetic heterogeneity is present in fucosidosis; there are at least two types. In type 1, patients have no vascular lesions, but have rapid psychomotor regression, severe and rapidly progressing neurologic signs, elevated sodium and chloride excretion in the sweat, and fatal outcome before the sixth year. In type 2, patients have angiokeratoma, milder psychomotor retardation and neurologic signs, longer survival, and normal salinity in the sweat. Quantitative studies on erythrocytes and in saliva disclosed severely increased expressions of Lea and Leb. Biopsies of skin and gingiva showed alterations as seen in angiokeratoma. There was also evidence of lysosomal storage in vascular endothelium, eccrine sweat gland epithelium, and fibroblasts of the skin.
doi_str_mv 10.1542/peds.57.2.205
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subjects Adult
alpha-L-Fucosidase - metabolism
Child
Child, Preschool
Disaccharidases - metabolism
Fabry Disease - complications
Female
Heterozygote
Humans
Male
Mucopolysaccharidoses - complications
Mucopolysaccharidoses - diagnosis
Mucopolysaccharidoses - genetics
title Fucosidosis type 2
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