Sialidosis - Type II (Neonatal / Infantile / Juvenile Onset)
Etiology and Pathogenesis
One of five conditions that account for the majority of cases of progressive myoclonus epilepsies. Enzyme deficiency results in accumulation of sialyloligosaccharides and sialylglycopeptides, affecting lymphocytes, fibroblasts, bone marrow cells, Kupffer cells (liver), and Schwann cells. Key Symptom Images
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| Hepatosplenomegaly |
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Corneal opacity |
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Macular cherry-red spots |
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Image Credits: Cherry-red macular spots courtesy of Jay M. Haynie, OD.
Clinical Description and Progression/Prognosis
Neurodegenerative disorder characterized by myoclonic seizures, tonic-clonic seizures, progressive neurologic dysfunction (ataxia), and cherry-red macular spots. Distinguished from Type 1 by early onset of progressive visceral, skeletal, neurological involvement. Type II has three variants: Congenital onset - Stillborn, or death at an early age. If born live, presents with hydrops fetalis and other complications. Infantile onset - Presents at birth to 12 months, ranging from normal-to-minimal abnormalities to neonates with ascites and hydrops fetalis. Juvenile onset - Onset at end of 1st decade of life, progressive disorder with mucopolysaccharidosis-like phenotypes. Death occurs in the 2nd decade of life.
Inheritance pattern: autosomal recessive Incidence: 1 in 4,222,000 live births (for types I and II together) [1] Diagnosis: Enzyme assay Conditions with similar presentations: Mucopolysaccharidoses Management: no disease-specific treatment available Other medical care: symptom management
 Congenital onset:  Ascites  Organomegaly  Hepatomegaly, with or without splenomegaly  Inguinal hernia  Infantile onset:  Visceromegaly  Renal involvement  Congenital onset:  Facial edema  Juvenile onset:  Dysostosis multiplex  Congenital onset:  Pericardial effusion
Back to categories  Congenital onset:  Corneal opacifications  Cherry-red macular spots  Juvenile onset:  Cherry-red macular spots  Decreased visual activity  Mental retardation (all variants)  Juvenile onset:  Myoclonus Dermatologic  Angiokeratomas (juvenile variant)
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1. Meikle PJ, Hopwood JJ, Clague AE, Carey WF. Prevalence of Lysosomal Storage Disorders. JAMA. 1999; 281: 249-254.
2. Thomas, George. “Disorders of Glycoprotein Degradation: -Mannosidosis, -Mannosidosis, Fucosidosis, and Sialidosis.” The Metabolic and Molecular Bases of Inherited Disease, 8th Edition Online. McGraw-Hill. http://genetics.accessmedicine.com/server-java/Arknoid/amed/mmbid/co_chapters/ch140/ch140_p01.html Accessed September 2004. |