Document Detail


Neuraminidase deficiency presenting as non-immune hydrops fetalis.
MedLine Citation:
PMID:  6240403     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A newborn infant with oedema, ascites and hepatosplenomegaly is described. In ascites fluid foamy macrophages were found, in a liver biopsy cytoplasmic inclusions and membrane-bound vacuoles were seen. Furthermore the child excreted excessive amounts of sialic acid-rich oligosaccharides in the urine, and therefore a neurovisceral degenerative disorder was assumed. The diagnosis of sialidosis was confirmed by enzymatic assay in cultured fibroblasts, in which a complete deficiency of the lysosomal enzyme neuraminidase could be demonstrated. After recurrent septicaemias the child became dystrophic and died at the age of 6 months. Our case is compared with sialidosis observed by other authors, the wide phenotypic diversity within this biochemical defect is emphasised. The occurrence of hydrops fetalis in lysosomal storage diseases is discussed.
Authors:
M Beck; S W Bender; H L Reiter; W Otto; R Bässler; H Dancygier; J Gehler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of pediatrics     Volume:  143     ISSN:  0340-6199     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  1984 Dec 
Date Detail:
Created Date:  1985-03-07     Completed Date:  1985-03-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  135-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Edema / etiology*
Female
Fibroblasts / enzymology
Hexosaminidases / analysis
Humans
Infant, Newborn
Leukocytes / enzymology
Liver / pathology
Lysosomes / enzymology*
Mannosidases / analysis
Mucolipidoses / diagnosis,  pathology*
Neuraminidase / analysis,  deficiency*
Oligosaccharides / urine
alpha-L-Fucosidase / analysis
alpha-Mannosidase
beta-Galactosidase / analysis
beta-N-Acetylhexosaminidases
Chemical
Reg. No./Substance:
0/Oligosaccharides; EC 3.2.1.-/Hexosaminidases; EC 3.2.1.-/Mannosidases; EC 3.2.1.18/Neuraminidase; EC 3.2.1.23/beta-Galactosidase; EC 3.2.1.24/alpha-Mannosidase; EC 3.2.1.51/alpha-L-Fucosidase; EC 3.2.1.52/beta-N-Acetylhexosaminidases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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