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A Patient With Atypical Multiple Sulfatase Deficiency
Journal article   Peer reviewed

A Patient With Atypical Multiple Sulfatase Deficiency

Chandrabhaga Miskin, Joseph J. Melvin, Agustin Legido, David A. Wenger, Sue Moyer Harasink and Divya S. Khurana
Pediatric neurology, v 57
01 Apr 2016
PMID: 26825355

Abstract

Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Pediatrics Science & Technology
BACKGROUND: Multiple sulfatase deficiency is an autosomal recessive lysosomal storage disorder characterized by the absence of several sulfatases and resulting from mutations in the gene encoding the human C (alpha)-formylglycine-generating enzyme. There have been a variety of biochemical and clinical presentations reported in this disorder. PATIENT DESCRIPTION: We present a 4-year-old girl with clinical findings of microcephaly, spondylolisthesis and neurological regression without ichthyosis, coarse facies, and organomegaly. RESULTS: The child's magnetic resonance imaging demonstrated confluent white matter abnormalities involving the periventricular and deep cerebral white matter with the U-fibers relatively spared. Biochemical testing showing low arylsulfatase A levels were initially thought to be consistent with a diagnosis of metachromatic leukodystrophy. The diagnosis of multiple sulfatase deficiency was pursued when genetic testing for metachromatic leukodystrophy was negative. CONCLUSION: This child illustrates the clinical heterogeneity of multiple sulfatase deficiency and that this disorder can occur without the classic clinical features. (C) 2016 Elsevier Inc. All rights reserved.

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Pediatrics
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