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cholesterol ester storage disease; lysosomal acid lipase deficiency; Wolman's disease

Etiology: - lysosomal acid lipase deficiency Epidemiology: - rare Pathology: - cholesterol esters & triglycerides build up liver & the cardiovascular system - Wolman disease is a rapidly progressive form - often presents in infants 2-4 months of age - infants rarely survive beyond a year - cholesteryl ester storage disease is a milder version of lysosomal acid lipase deficiency - presents later in childhood & later - life expectancy depends on disease severity. Laboratory: - lysosomal acid lipase in fibroblasts - lysosomal acid lipase in leukocytes Management: - sebelipase alfa (Kanuma)

General

lipid metabolism, inborn error; lipid storage disease; lipidosis lysosomal storage disease

References

  1. Medscape Oncology. Dec 8, 2015 FDA OKs First Drug (Kanuma) for Rare Enzyme Disease http://www.medscape.com/viewarticle/855617