Hematopoietic stem cell transplant does not prevent neurological deterioration in infants with Farber disease: Case report and literature review.

ASAH1 Farber disease acid ceramidase hematopoietic stem cell transplant lysosomal storage disorder macrophage

Journal

JIMD reports
ISSN: 2192-8304
Titre abrégé: JIMD Rep
Pays: United States
ID NLM: 101568557

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 18 12 2018
accepted: 20 12 2018
entrez: 27 6 2019
pubmed: 27 6 2019
medline: 27 6 2019
Statut: epublish

Résumé

Farber disease (FD) is an inherited autosomal recessive disorder of lipid metabolism. The hallmark of the disease is systemic accumulation of ceramide due to lysosomal acid ceramidase deficiency. The involvement of the central nervous system is critical in this disorder leading to rapid deterioration and death within a few years after birth. Efforts to treat patients by hematopoietic stem cell transplant (HSCT) have resulted in favorable results in the absence of neurological manifestations. We report the outcomes of HSCT in two patients with FD who received early HSCT and had neurological deterioration posttransplant. We also present a new understanding of the limitations of HSCT in FD management based on our observations of the clinical course of the two patients after therapy.

Identifiants

pubmed: 31240154
doi: 10.1002/jmd2.12008
pii: JMD212008
pmc: PMC6498832
doi:

Types de publication

Journal Article

Langues

eng

Pagination

46-51

Déclaration de conflit d'intérêts

There are no conflicts of interest to declare.

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Auteurs

Catherine Goudie (C)

Division of Hematology-Oncology, Department of Pediatrics McGill University Health Center Montreal Quebec Canada.

Abdulfatah M Alayoubi (AM)

Division of Medical Genetics, Department of Human Genetics McGill University Montreal Quebec Canada.
Department of Biochemistry and Molecular Medicine, College of Medicine, Taibah University Madinah Saudi Arabia.

Pauline Tibout (P)

Department of Pediatrics CHU de Québec-Université Laval Quebec Québec Canada.

Michel Duval (M)

Division of Hematology-Oncology, Department of Pediatrics CHU Sainte-Justine, University of Montreal Montreal Quebec Canada.

Bruno Maranda (B)

Division of Genetics, Department of Pediatrics Université de Sherbrooke Sherbrooke Quebec Canada.

David Mitchell (D)

Division of Hematology-Oncology, Department of Pediatrics McGill University Health Center Montreal Quebec Canada.

John J Mitchell (JJ)

Division of Medical Genetics, Department of Human Genetics McGill University Montreal Quebec Canada.
Department of Pediatrics McGill University Montreal Quebec Canada.

Classifications MeSH