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12 Cards in this Set

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Gaucher's disease
Deficient enzyme - glucocerbrosidase
Accumulated substance - glucocerebroside
Hepatosplenomegaly, aseptic necrosis of femur, bone crises, macrophages that look like crumpled paper
Niemann-Pick disease
Deficient enzyme - sphingomyelinase
Accumulated substance - sphingomyelin
Progressive neurodegeneration, hepatosplenomegaly, cherry-red spot on macula, foam cells
Tay-Sachs disease
Deficient enzyme - hexosaminidase A
Accumulated substance - GM2 ganglioside
Progressive neurodegeneration, developmental delay, cherry-red spot on macula, lysosomes with onion skin, NO hepatosplenomegaly
Hurler's syndrome
Deficient enzyme - a-L-iduronidase
Accumulated substance - heparan sulfate, dermatan sulfate
Developmental delay, gargoylism, airway obstruction, corneal clouding, hepatosplenomegaly
Hunter's syndrome
Deficient enzyme - iduronate sulfatase
Accumulated substance - heperan sulfate, dermatan sulfate
Mild Hurler's + aggresive behavior, no corneal clouding, X-linked recessive
Essential fructosuria
fructokinase
benign fructose in blood and urine
Fructose intolerance
aldolase B
fuctose-1-phosphate accumulates leads to inhibition of glycogenolysis and gluconeogenesis
Hypoglycemia, jaundice, cirrhosis, vomitting, no fructose/sucrose
Galactokinase defiency
galactokinase
infantile cataracts, failure to tract objects or to develop a social smile
Classic galactosemia
galactose-1-phosphate uridyltranferase
accumulation galacitol in eyes
failure to thrive, jaundice, hepatomegaly, infantile cataracts, mental retardation
No galactose an lactose
Fabry's disease
Deficient enzyme - a-galactosidase A
Accumulated substrate - ceramide trihexoside
Peripheral neuropathy of hand/s feet, angiokeratomas, cardiovascular/renal disease, X-linked recessive
Krabbe's disease
Deficient enzyme - B-galactocerebrosidase
Accumulated substance - galactocerebroside
Peripheral neuropathy, developmental delay, optic atrophy, globoid cells
Metachromatic leukodystrophy
Deficient enzyme - arylsulfatase A
Accumulated substrate - cerebroside sulfate
Central and peripheral demyelination with ataxia, dementia