Lipogranulomatosis, disseminated E75.2

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

color's disease; familial lipogranulomatosis; Farber's disease; Lipogranulomatosis familial

History
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Farber et al., 1957

Definition
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Sphingolipidosis, with autosomal recessive inherited ceramidase deficiency and subsequent ceramide storage in the tissues.

Manifestation
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Early childhood.

Clinical features
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  • Skin symptoms: Subcutaneous brownish nodules, especially over the extensor sides of the large joints.
  • Extracutaneous manifestation: Pasty-edematous joint swelling with painful restriction of movement in almost all joints. Hoarseness due to involvement of the larynx. Failure to thrive, respiratory insufficiency due to deposits in the lung tissue.

Histology
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Granulomatous, ceramide-containing intralysosomal deposits in all tissues (= Faber bodies).

Differential diagnosis
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Therapy
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Not known.

Progression/forecast
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Mostly acute course with death in the first 2 years of life.

Literature
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  1. Bar J et al (2001) Molecular analysis of acid ceramidase deficiency in patients with Farber disease. Hum Mutate 17: 199-209
  2. Farber S et al (1957) Lipogranulomatosis: a new lipo-glyco-protein storage disease. J Mt Sinai Hosp 24: 816-837
  3. Kattner E et al (1997) Hydrops fetalis: manifestation in lysosomal storage diseases including Farber disease. Eur J Pediatr 156: 292-295
  4. Muramatsu T et al (2002) Mutation analysis of the acid ceramidase gene in Japanese patients with Farber disease. J Inherit Metab Dis 25: 585-592
  5. Moritomo H et al (2002) Surgical treatment of hand disorders in Farber's disease: a case report. J Hand Surg On 27: 503-507
  6. Utikal J et al (2003) Cutaneous non-Langerhans' cell histiocytoses. J Dtsch Dermatol Ges 1: 471-491

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Last updated on: 29.10.2020