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30 Cards in this Set

  • Front
  • Back

Enzyme affected in Fabry disease

a-galactosidase A

Enzyme affected in gaucher disease

Glucocerebrosidase

Enzyme affected in Neimann pick disease

Sphingomyelinase

Enzyme affected in Tay sachs disease

Hexosaminidase A

Enzyme affected in Krabbe disease

Galactocerebrosidase

Enzyme affected in metachromatic leukodystrophy

Arylsulfatase A

Storage product in Fabry disease

Ceramide trihexoside

Storage product in Gaucher disease

Glucocerebroside

Storage product in Neiman Pick disease

Sphingomyelin

Storage product in Tay Sach disease

GM 2 ganglioside

Storage product in Krabbe disease

Galactocerebroside


Psychosine

Storage product in metachromatic leukodystrophy

Cerebroside sulfate

Enzyme affected in Von Gierke disease

Glucose 6 phosphatase

Enzyme affected in pompe disease

Lysosomal a-1,4-glucosidase

Enzyme affected in cori disease

Debranching enzyme i.e


a-1,6-glucosidase

Enzyme affected in Mcardle disease

Muscle glycogen phosphorylase i.e. myophosphorylase

Key findings in Von Gierke disease

Severe fasting hypoglycemia because gluconeogenesis is also affected


Increased blood lactate


Increased uric acid leading to gout


Increased triglycerides



Key findings in pompe disease

Cardiomegaly


Hypertrophic cardiomyopathy


Exercise intolerance

Key findings in Cori disease

Limit dextrin like substances accumulate in the cytosol


Same as von gierke but:


Normal lactic acid levels


Gluconeogenesis is not affected

Key findings in McArdle disease

Muscle cramps


Myoglobinuria


Arrhythmias


Exercise intolerance

Double triad found in Fabry disease


Late findings



Episodic peripheral neuropathy


Angiokeratomas


Hypohidrosis




Neuropathy


Lack of sweating


Capillary lesions




Progressive renal failure, CVS disease

Key findings in Gaucher disease

Hepatosplenomegal


Osteoporosis


Aseptic necrosis of femur


Bone crises


Panytopenia

Key findings in Niemann pick disease

Hepatosplenomegaly


Progressive neurodegeneration


Cherry red spot on macula Foam cells

Key findings in Tay Sach disease

Progressive neurodegeneration


Cherry red spot


Lysosomes with onion skin

Key findings in Krabbe disease

Peripheral neuropathy


Developmental delay


Optic atrophy


Globoid cells

Key findings in metachromatic leukodystrophy

Central and peripheral demyelination


Ataxia


Dementia

Enzymes deficient in hurler syndrome and hunter syndrome

a-L iduronidase-----> Hurler


Iduronate sulfatase-----> Hunter

Accumulated substrate in Hurler and Hunter disease

Heparan sulfate


Dermatan sulfate

Differences between hunter and hurler disease

Corneal clouding in Hurler disease


Hurler is AR while hunter is XLR

Describe gaucher cells

They are lipid laden macrophages resembling crumpled tissue paper