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13 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
peripheral neuropathy of hands/feet, angiokeratomas, cardiovascular/renal disease
Fabry's
alpha galatosidase A
ceramide trihexoside
XR
hepatosplenomegaly, aseptic necrosis of femur, bone crises, macrophages look like crumpled tissue paper
Gaucher's disease (MC)
beta glucocerebrosidase
glucocerebroside
AR
progressive neurodegeneration, hepatosplenomegaly, cherry-red spot on macula, foam cells
niemann-pick disease
sphingomyelinase
Sphingomyelin
AR
progressive neurodegeneration, developmental delay, cherry red spot on macula, lysosomes with onion skin
Tay Sachs
hexosaminidase A
GM2 ganglioside
AR
peripheral neuropathy, developmental delay, optic atrophy, globoid cells
Krabbe's
(globoid cell leukodystrophy)
galactocerebrosidase
galactocerebroside
AR
central and peripheral demyelination with ataxia, dementia
metachromatic leukodystrophy
arylsulfatase A
cerebroside sulfate
AR
developmental delay, gargoylism, airway obstruction, corneal clouding, hepatosplenomegaly
Hurler's
alpha-L iduronidase
Heparan sulfate, dermatan sulfate
AR
Mild Hurler's + aggressive behavior, NO corneal clouding
Hunter's
iduronate sulfatase
Heparan sulfate, dermatan sulfate
XR
severe fasting hypoglycemia, glycogen in liver, increased blood lactate, hepatomegaly
Von Gierke's (type I)
glucose-6-phosphate
cardiomegaly and systemic findings (liver, muscle) leading to early death
Pompe's (type II)
lysosomal alpha-1,4-glucosidase (acid maltase)
milder form type I with normal blood lactate levels, accumulation abnormal glycogen
Cori's (type III)
debranching enzyme (alpha-1,6-glucosidase)
"short outer branches"
gluconeogenesis intact
increased glycogen in muscle, cannot break it down, painful muscle cramps, myoglobinuria with strenuous exercise
McArdle's (type V)
skeletal muscle glycogen phosphorylase
mild fasting hypoglycemia, hepatomegaly, cirrhosis
Hers (type VI)
hepatic glycogen phosphorylase