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Spondyloepiphyseal dysplasia, corneal clouding, normal intelligence and acid β-galactosidase deficiency
Authors:John S.  O'Brien   E. Gugler    A. Giedion    U. Wiessmann    N. Herschkowitz    C. Meier  J. Leroy
Affiliation:Departments of Pediatrics, University of Antwerp, Belgium.;Neurology, University of Bern, University of Antwerp, Belgium.;Children's Hospital of Aarau, University of Antwerp, Belgium.;Children's Hospital of Zurich, Switzerland, University of Antwerp, Belgium.;Department of Pediatrics, University of Antwerp, Belgium.
Abstract:A 14-year-old girl with a unique type of progressive spondyloepiphyseal dysplasia, corneal clouding, and no evidence of neurological abnormality, was found to have a remarkable deficiency of acid β-galactosidase activity in cultured skin fibroblasts and in leucocyte preparations. In fibroblasts, ganglioside GM1β-galactosidase activity averaged 7 % of the normal mean while asialofetuin β-galactosidase and 4-methylumbelliferyl-β-galactosidase averaged 1.4 % and 3.5 %, respectively. Activities for all three substrates in leucocytes from both her parents were close to 50 % of the normal mean indicating that the patient is homozygous for a mutation (or mutations) affecting GM1β-galactosidase.
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