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About Lysosomal Storage Disorders
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Aspartylglycosaminuria

Metabolic defect: aspartylglucosaminidase deficiency

Other glycan degradation diseases: fucosidosis: type I, type II | mannosidosis | sialidosis: type I, type II


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Aspartylglycosaminuria

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Etiology and Pathogenesis[1]

Enzyme deficiency results in progressive accumulation of aspartylglycosamine in the tissues, spinal fluid, and urine.

Key Symptom Images
Kyphosis (kyphoscoliosis)

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]

Signs and Symptoms[2,3,4, 5]

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General
Metabolic anomalies

Musculoskeletal
Facial
Brachycephaly
Microcephaly
Coarse facial features
Facial dysmorphism
Macroglossia
Pectus carinatum
Thick calvaria
Kyphosis
Scoliosis
Abnormal vertabrae size/shape

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Ocular
Eye deformities

Respiratory
Recurrent respiratory infections

Gastrointestinal
Diarrhea
Inguinal hernias
Thickened gingiva

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Genitourinary
Macroorchidism

Neurologic
Speech delay
Mental deterioration in childhood
Mental retardation
Hypotonia
Spasticity
Seizures (adult)
Behavior disorder/autism

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Other Resources

Journal of Gene Medicine: Abstract on Aspartylglycosaminuria study



References


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.