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An In Vitro Model for the Study of Cellular Pathophysiology in Globoid Cell Leukodystrophy
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Intestinal involvement in metachromatic leukodystrophy.

Halûk Yavuz1, Hasan Ali Yüksekkaya

  • 1Department of Pediatrics, Selçuk University, Konya, Turkey. haya@selcuk.edu.tr

Journal of Child Neurology
|January 8, 2011
PubMed
Summary
This summary is machine-generated.

Metachromatic leukodystrophy (MLD), a lysosomal storage disease, can cause gastrointestinal issues. This case highlights MLD

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Area of Science:

  • Biochemistry
  • Genetics
  • Pediatric Neurology

Background:

  • Metachromatic leukodystrophy (MLD) is a lysosomal storage disorder due to arylsulfatase A deficiency, leading to sulfatide accumulation and neurological decline.
  • Extra-nervous system manifestations of MLD are uncommon, with gallbladder polyposis being a reported finding.

Purpose of the Study:

  • To report a novel case of gastrointestinal polypoid masses and obstruction in a patient with late infantile metachromatic leukodystrophy.
  • To investigate the potential association between MLD and intestinal polyp formation.

Main Methods:

  • Case report of a 5.5-year-old girl with late infantile MLD.
  • Clinical presentation including unexplained vomiting and severe gastrointestinal bleeding.
  • Endoscopic and radiological investigations to identify gastrointestinal abnormalities.
  • Literature review for previously reported MLD-associated gastrointestinal manifestations.

Main Results:

  • The patient presented with persistent vomiting, severe gastrointestinal bleeding, and intestinal intussusception.
  • Endoscopy revealed multiple polypoid masses in the stomach and duodenum.
  • Intestinal obstruction secondary to polypoid masses was diagnosed.
  • No prior reports of intestinal polypoid masses and obstruction in MLD patients were found.

Conclusions:

  • Persistent vomiting in MLD patients may indicate intestinal obstruction due to polypoid masses.
  • This case suggests a possible trend for polyp development in the intestines, similar to the gallbladder, in MLD.
  • Further research is needed to confirm the association between MLD and gastrointestinal polypoid masses.