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Krabbe disease

Alternative Names:
Globoid cell leukodystrophy; Galactosylcerebrosidase deficiency; Galactosylcereamidase deficiency

Symptoms:
  • Infantile irritability and sensitivity to loud sounds
  • Feeding difficulties
  • Vomiting
  • Failure to thrive
  • Unexplained fevers
  • Changing muscle tone from floppy to rigid
  • Seizures, deterioration in function of nerves in brain and body
  • Infant who ceases to follow faces or motion (indicates blindness)
  • Decreased hearing that progresses to deafness


Signs and tests:

Examination of the retina may show optic atrophy. Abnormal posturing may be evident (opisthotonos and decerebrate posturing) in late stages of the disorder. There may be signs of deafness.

Tests:

  • Galactocerebroside beta-galactosidase levels in white blood cells 
  • CSF total protein (may be increased)
  • MRI of the head (the best test to reveal abnormal white matter of the brain)
  • Nerve conduction velocity (showing delayed nerve conduction and evidence of demyelination)
  • Genetic testing for mutations in the galactosylceramidase gene (GALC)



Review Date: 4/20/2005
Reviewed By: Neal Sondheimer, M.D., PhD., Division of Genetics and Metabolism, Children's Hospital of Philadelphia, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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