Neutral Lipid Storage Disease

Other names: Dorfman-Chanarin syndrome

OMIM: 275630

Inheritance: autosomal recessive

Incidence: very rare

Key findings:

  • skin: small, tightly adherent scales and thickening of the epidermis give the appearance of increased skin markings or ridges, especially near body folds; mild erythroderma and eversion of eyelids (ectropion); itching

Associated findings: the following are common but occur with varying severity

  • eyes: cataracts and other visual disturbances
  • ears: hearing loss
  • neuromuscular: intelligence usually normal; weakness can be progressive
  • liver: large
  • intestine: malabsorption (rare)

Age at first appearance: birth

Long-term course: may present with congenital ichthyosiform erythroderma or, rarely, collodian baby; skin changes generally stable after neonatal period; may improve on special diets

Diagnostic tests: lipid inclusions in cells on blood smear or skin biopsy

Abnormal gene: unknown


 


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