单词 | metachromatic leukodystrophy |
释义 | metachromatic leukodystrophymetachromatic leukodystrophy[¦med·ə·krō′mad·ik ‚lü·kə′dis·trə·fē]metachromatic leukodystrophyleukodystrophy[loo″ko-dis´tro-fe]met·a·chro·mat·ic leu·ko·dys·tro·phy[MIM*250100, MIM*249900]metachromatic leukodystrophyAn autosomal recessive lysosomal storage disease (OMIM:250100) caused by arylsulfatase A deficiency, characterised by an accumulation of sulphated sphingolipid (cerebroside-3-sulfate) in neural and non-neural tissues, and a diffuse loss of myelin in the CNS.Clinical findings Onset by age two, death by age five, with upper and lower motor neuron disease, decreased nerve conduction, spasms, ataxia, oculomotor paralysis, bulbar palsy, blindness, deafness, and dementia. Molecular pathology Defects in ARSA on chromosome 22q13.31-qter, which encodes arylsulfatase A, causes metachromatic leukodystrophy. Treatment All therapies are experimental; none are effective. Prognosis Universally fatal. metachromatic leukodystrophyNeurology An AR lysosomal storage disease caused by arylsulfatase. A deficiency, characterized by sulfated sphingolipid accumulation, ↓ myelin Clinical forms Infantile form–most severe; adult form–least severe; juvenile form–intermediate Clinical Onset by age 2, death by age 5 with upper and lower motor neuron disease, ↓ nerve conduction, spasms, ataxia, oculomotor paralysis, bulbar palsy, blindness, deafness, dementia. See Arylsulfatase A, Leukodystrophy.met·a·chro·mat·ic leu·ko·dys·tro·phy(MLD) (met'ă-krō-mat'ik lū'kō-dis'trŏ-fē) |
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