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Radiological and clinical characterization of the lysosomal storage disorders: non-lipid disorders
Insights
Early identification of lysosomal storage diseases (LSDs) is crucial. This review details key imaging features of extralipid LSDs to aid radiologists in diagnosing these rare genetic metabolic disorders.
Area of Science:
- Biochemistry
- Genetics
- Radiology
Background:
- Lysosomal storage diseases (LSDs) are genetic metabolic disorders characterized by the intracellular accumulation of abnormal materials.
- Many LSDs present in infancy or early childhood, necessitating prompt diagnosis to prevent severe complications and mortality.
Purpose of the Study:
- To review and correlate the key imaging features of non-lipid or extralipid LSDs with clinical manifestations and genetic data.
- To highlight similarities and differences in radiological findings among various LSDs to improve recognition.
Main Methods:
- Review of imaging features for specific extralipid LSDs.
- Stratification of disorders based on accumulated material (mucopolysaccharides, glycoproteins, etc.).
- Correlation of imaging findings with clinical and genetic information.
Main Results:
- Detailed examination of imaging characteristics for mucopolysaccharidoses, mucolipidoses, alpha-mannosidosis, glycogen storage disorder II, and cystinosis.
- Identification of distinguishing radiological findings for each LSD.
- Comparison of imaging similarities and differences across these disorders.
Conclusions:
- Radiologists can play a vital role in the early diagnosis of LSDs by understanding their distinct imaging characteristics.
- Correlating imaging findings with clinical and genetic data aids in differentiating between various LSDs.
- Early diagnosis through advanced imaging interpretation is essential for managing these progressive and potentially fatal genetic disorders.
Abstract:
Lysosomal storage diseases (LSDs) are a large group of genetic metabolic disorders that result in the accumulation of abnormal material, such as mucopolysaccharides, glycoproteins, amino acids and lipids, within cells. Since many LSDs manifest during infancy or early childhood, with potentially devastating consequences if left untreated, timely identification is imperative to prevent irreversible damage and early death. In this review, the key imaging features of the non-lipid or extralipid LSDs are examined and correlated with salient clinical manifestations and genetic information. Disorders are stratified based on the type of excess material causing tissue or organ dysfunction, with descriptions of the mucopolysaccharidoses, mucolipidoses, alpha-mannosidosis, glycogen storage disorder II and cystinosis. In addition, similarities and differences in radiological findings between each of these LSDs are highlighted to facilitate further recognition. Given the rare and extensive nature of the LSDs, mastery of their multiple clinical and radiological traits may seem challenging. However, an understanding of the distinguishing imaging characteristics of LSDs and their clinical correlates may allow radiologists to play a key role in the early diagnosis of these progressive and potentially fatal disorders.
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