Wolman's disease E75.5

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 20.10.2022

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Synonym(s)

Primary familial xanthomatosis involving the adrenal glands; Xanthomatosis primary familial with adrenal involvement

Definition
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Generalized xanthomatosis with intracellular lipid storage without hyperlipoproteinemia.

Etiopathogenesis
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Autosomal recessive inheritance. Lack of acid lipase with degradation of triglycerides and cholesterol esters.

Manifestation
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Infancy

Clinical features
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Vomiting, hepatosplenomegaly, icterus, failure to thrive. Radiological calcification of the adrenal glands is detectable.

Laboratory
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Reduction or absence of alpha-lipoproteins.

Therapy
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Causally not possible, symptomatic. Working with the pediatrician. Exitus lethalis usually in the first year of life.

Progression/forecast
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Death mostly in the 1st year of life.

Literature
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  1. Alabbas Fet al. (2021) Wolman's disease presenting with secondary hemophagocytic lymphohistiocytosis: a case report from Saudi Arabia and literature review. BMC Pediatr 21:72.
  2. Aguisanda F et al (2017) Targeting Wolman disease and cholesteryl ester storage disease: disease pathogenesis and therapeutic development. Curr Chem Genome Transl Med 11:1-18.

Outgoing links (2)

Icterus; Xanthomatosis;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 20.10.2022