Aspartylglycosaminuria
Etiology and Pathogenesis [1]
Enzyme deficiency results in progressive accumulation of aspartylglycosamine in the tissues, spinal fluid, and urine. Key Symptom Images
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| Kyphosis (kyphoscoliosis) |
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Image Credits: Coarse facial features courtesy of The National MPS Society, Inc. Kyphosis courtesy of ram Chadda, MS. Clinical Description and Progression/Prognosis [1,2]
Recurrent infections and diarrhea in the 1st few months of life. Progressive mental retardation, seizures, coarse facial features, and skeletal abnormalities evident by adolescence. Symptoms develop by 2 to 6 years of age. Early signs include clumsiness, late speech, and hyperkinesia, mild facial dysmorphism, and slight kyphoscoliosis. Inheritance pattern: autosomal recessive [2] Incidence: 1 in 2,111,000 live births [3] Diagnosis: enzyme assay; mutation analysis; Conditions with similar presentations: Management: no disease-specific treatment available Other medical care: symptom management [2]
 Metabolic anomalies
 Facial  Brachycephaly  Microcephaly  Coarse facial features  Facial dysmorphism  Macroglossia  Pectus carinatum  Thick calvaria  Kyphosis  Scoliosis  Abnormal vertabrae size/shape
Back to categories  Eye deformities
 Recurrent respiratory infections
 Diarrhea  Inguinal hernias  Thickened gingiva
Back to categories  Macroorchidism
 Speech delay  Mental deterioration in childhood  Mental retardation  Hypotonia  Spasticity  Seizures (adult)  Behavior disorder/autism
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1. Hensyl W, ed. Stedman’s Medical Dictionary. 25th ed. Baltimore: Williams & Wilkins; 1990; p. 142.
2. www.orpha.net
3. Meikle PJ, Hopwood JJ, Clague AE, Carey WF. Prevalence of Lysosomal Storage Disorders. JAMA. 1999; 281: 249-254.
4. Pertti Aula, Anu Jalanko, Leena Peltonen. “Aspartylglucosaminuria”. The Metabolic and Molecular Bases of Inherited Disease, 8th Edition Online. McGraw-Hill. http://genetics.accessmedicine.com/server-java/Arknoid/amed/mmbid/co_chapters/ch141/ch141_p01.html Accessed September 2004.
5. NORD. www.rarediseases.org. Accessed October 2004. |