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Pathogenesis (Lysosomal Storage Disorder)
  • Ceramidase deficiency results in failure of ceramide break down into sphingosine and fatty acid, instead the ceramide (a form of fat) accumulates in lysosomes in several organ systems: musculoskeletal system (around the joints), lungs, liver, colon, and nervous system.
Clinical
  • Classic Presentation: Weak Cry, Lipogranulomas (fatty lumps under the skin), Swollen/Painful Joints
  • Survival: Infancy to Childhood, depending on the severity of the illness and nervous system and respiratory involvement.
Genetics
  • ASAH1 gene
  • Autosomal recessive
References
  • Calvo, Sherri; Collins, Heather; Greenberg, Kathleen, et. al at US National Library of Medicine, Genetics Home Reference. https://ghr.nlm.nih.gov