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Bassen-Kornzweig syndrome

Alternative Names:
Abetalipoproteinemia; Acanthocytosis; Apolipoprotein B deficiency

Symptoms:
  • Failure to thrive (grow) in infancy
  • Fatty stools that appear pale in color
  • Frothy stools
  • Abnormally foul-smelling stools
  • Protruding abdomen
  • Developmental delay
  • Poor muscle coordination that usually develops after age 10
  • Muscle weakness
  • Slurred speech
  • Curvature of spine
  • Progressive decreased vision
  • Balance and coordination difficulties


Signs and tests:
  • CBC (complete blood count) that shows abnormally shaped red blood cells (thorny appearance)
  • Cholesterol studies, including total cholesterol that shows low levels of VLDL and LDL
  • Stool collection that shows elevated fat levels
  • Low levels of fat-soluble vitamins such as vitamins A, D, E, or K
  • Ophthalmology exam showing retinal degeneration
  • Absent or low apolipoprotein B levels in blood
  • Genetic testing may be available for mutations in the APOB or MTP genes
  • EMG or nerve conduction velocity testing may show demyelination of peripheral nerves



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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