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Metachromatic leukodystrophy information


Metachromatic leukodystrophy
Other namesMLD, Arylsulfatase A deficiency, ARSA deficiency
Sulfatide
SpecialtyEndocrinology, neurology Edit this on Wikidata
SymptomsProgressive neurologic decline
ComplicationsDementia, seizures, loss of motor skills
Usual onsetLate infantile (1-2 years), juvenile (3-20 years) or adulthood (around 40s)
DurationLate infantile (3-10 years), juvenile and adult (varies)
TypesLate infantile, juvenile, or adult
CausesLysosomal storage disease
Diagnostic methodEnzyme based and genetics
TreatmentHSCT (pre-symptomatic), Gene therapy (late infantile), Palliative
Prognosisfatal
Frequency1 in 40,000 births

Metachromatic leukodystrophy (MLD) is a lysosomal storage disease which is commonly listed in the family of leukodystrophies as well as among the sphingolipidoses as it affects the metabolism of sphingolipids. Leukodystrophies affect the growth and/or development of myelin, the fatty covering which acts as an insulator around nerve fibers throughout the central and peripheral nervous systems. MLD involves cerebroside sulfate accumulation.[1][2] Metachromatic leukodystrophy, like most enzyme deficiencies, has an autosomal recessive inheritance pattern.[2]

  1. ^ "metachromatic leukodystrophy" at Dorland's Medical Dictionary
  2. ^ a b Le, Tao; Bhushan, Vikas; Hofmann, Jeffrey (2012). First Aid for the USMLE Step 1. McGraw-Hill. p. 117. ISBN 9780071776363.

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ARSA gene. A deficiency in Arylsulfatase A is associated with metachromatic leukodystrophy, an autosomal recessive disease. Multiple sulfatase deficiency...

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Metazym

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recombinant enzyme that was studied in patients with late infantile metachromatic leukodystrophy, but found to be ineffective under the conditions of that trial...

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