Polyarticular arthritis as presenting feature of farber disease: a lysosomal storage disease involving inflammation

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Polyarticular arthritis as presenting feature of farber disease: a lysosomal storage disease involving inflammation

Introduction Farber lipogranulomatosis (Farber Disease; FD) is an ultra-rare lysosomal storage disorder resulting from the inherited deficiency of the enzyme acid ceramidase, and the accumulation of the lipid substrate, ceramide. Ceramide is a pro-inflammatory and pro-apoptotic lipid that has been implicated in the pathogenesis of cartilage disorders. Farber Disease has a heterogeneous presenta...

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We report a case of lysosomal storage disease diagnosed by lysosomal enzyme assay in a two year old boy with a history of gradual onset of weakness of body, poor vision, flaccid neck and spasticity in all four limbs with hyper-reflexia. On fundus examination cherry red spots were noted at macula. On performing lysosomal enzyme assay, beta-galactosidase level was considerably low. This indicates...

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ژورنال

عنوان ژورنال: Pediatric Rheumatology

سال: 2014

ISSN: 1546-0096

DOI: 10.1186/1546-0096-12-s1-p285