Lysosomal storage diseases: difficulties in differintial diagnosis
https://doi.org/10.23946/2500-0764-2019-4-2-129-133
Abstract
Inherited metabolic disorders represent a heterogeneous group of diseases which are difficult to be diagnosed in pediatric and therapeutic practice. Theirclinical symptoms are non-specific and common. Here we discuss epidemiology, pathophysiology, signs and symptoms, and diagnostics of lysosomal storage diseases. We also describe a clinical case of Wolman disease underlining the importance of clinical alertness on inherited metabolic disorders. As a replacement therapy for these diseases is rapidly developing, a proper diagnosis is of crucial importance to improve prognosis and quality of life.
About the Authors
T. Y. PomytkinaRussian Federation
Prof. Tatiana Y. Pomytkina - MD, DSc, Head of the Department of Ambulatory Care, Postgraduate Training and Nursing.
22a, Voroshilova Street, Kemerovo, 650056
A. Y. Davydova
Russian Federation
Dr. Alexandra Y. Davydova - MD, Gastroenterologist, Gastroenterology Unit
References
1. Baranov AA, Namazova-Baranova LS, Gundobina OS, Mikhailova SV, Zakharova EU, Vishnyova EA, et al. Deficiency of Lysosomic Acid Lipase: Clinical Recommendations for Child Health Care Delivery. Pediatric Pharmacology. 2016; 13 (3): 239-243. Russian doi: 10.15690/pf.vl3i3.1573.
2. Ranucci G, Zollo G, Tozzi G, Nobili V, Spagnuolo MI, Iorio R. Lysosomal Acid Lipase Activity Deficiency in Children with Liver Disease: a potential biomarker? Biomed J Sci Tech Res. 2018; 6 (2): 1-7. doi: 10.26717/BJSTR.2018.06.001320.
3. Strokova TV, Bagaeva ME, Matinyan IA. Lysosomal acid lipase deficiency. Russian Medical Journal. 2017; (19): 1346-1351. Russian
4. Loskutova SA, Belousova TV, Nikulina AB. The disease is the accumulation of cholesterol esters due to deficit of lysosomal acid lipase. Clinical case of lysosomal acid lipase deficiency is described in this article. Medical Council. 2018; 2: 238-241. Russian doi: 10.21518/2079-701Х-2018-2-238-241.
5. Jones SA, Valayannopoulos V, Schneider E, Eckert S, Banikazemi M, Bialer M, et al. Rapid progression and mortality of lysosomal acid lipase deficiency presenting in infants. Genet Med. 2016; 18 (5): 452-458. doi:10.1038/gim.2015.108.
6. Novikov PV. Lysosomal storage diseases: The topical problem of pediatrics and the current possibilities of pathogenetic treatment. Russian Bulletin of Perinatology and Pediatrics. 2014; 59 (4): 4-9. Russian
7. Reiner Z, Guardamagna О, Nair D, Soran H, Hovingh К, Bertolini S, et al. Lysosomal acid lipase deficiency -- an underrecognized cause of dyslipidaemia and liver dysfunction. Atherosclerosis. 2014; 235 (1): 21-30. doi: 10.1016/j.atherosclerosis.2014.04.003.
8. Valayannopoulos V, Mengel E, Brassier A, Grabowski G. Lysosomal acid lipase deficiency: Expanding differential diagnosis. Mol Genet Metab. 2016; 120 (1-2): 62-66. doi. org/10.1016/j.ymgme.2016.11.002.
9. Mayevskaya MV, Ivashkin VT, Zharkova MS, Nekrasova TP, Ayusheva GI, Maslennikov RV. Rare forms of nonalcoholic fatty liver disease: hereditary lysosomal acid lipase deficiency. Russian Journal of Gastroenterology, Hepatology, and Coloproctology. 2016; 26 (3): 41-51. Russian
10. Su К, Donaldson Е, Sharma R. Novel treatment options for lysosomal acid lipase deficiency: critical appraisal of sebelipase aifa. Appl Clin Genet. 2016; 9: 157-167. doi.org/10.2147/TACG.S86760.
11. Ageeva NV, Agapova IA, Amelina EL, Gundobina OS, Zharkova MS, Kamenets E, et al. Progressive liver disease: a deficiency of lysosomal acid lipase (clinical cases). Russian Medical Journal. 2018; № 5 (II): 96-103. Russian
Review
For citations:
Pomytkina T.Y., Davydova A.Y. Lysosomal storage diseases: difficulties in differintial diagnosis. Fundamental and Clinical Medicine. 2019;4(2):129-133. (In Russ.) https://doi.org/10.23946/2500-0764-2019-4-2-129-133