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Pathogenesis (Leukodystrophy, Fatty Acid Disorder)
  • Glutathione Synthetase deficiency results in failure of the gamma-glutamyl cycle, which results in glutathione deficiency, and leads to failure of neutralization of carcinogens/toxins.
Clinical
  • Onset: Birth
  • Systemic manifestations: Hemolytic Anemia, Urinary excretion of 5-oxoprolinuria, Metabolic Acidosis
  • Neurological manifestations: Psychomotor retardation with cognitive delay and ataxia.
Genetics
  • GSS 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