Renal involvement in a patient with the chronic visceral subtype of acid sphingomyelinase deficiency resembles Fabry disease
Abstract Acid sphingomyelinase deficiency (ASMD) is a lysosomal storage disease (LSD) in which sphingomyelin accumulates due to deficient acid sphingomyelinase. In the chronic visceral subtype, organ manifestations are generally limited to the spleen, liver, and lungs. We report a male patient with...
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oai:doaj.org-article:0d8fd9418c5847569222bd253ca6e84e2021-11-08T13:27:18ZRenal involvement in a patient with the chronic visceral subtype of acid sphingomyelinase deficiency resembles Fabry disease2192-831210.1002/jmd2.12242https://doaj.org/article/0d8fd9418c5847569222bd253ca6e84e2021-11-01T00:00:00Zhttps://doi.org/10.1002/jmd2.12242https://doaj.org/toc/2192-8312Abstract Acid sphingomyelinase deficiency (ASMD) is a lysosomal storage disease (LSD) in which sphingomyelin accumulates due to deficient acid sphingomyelinase. In the chronic visceral subtype, organ manifestations are generally limited to the spleen, liver, and lungs. We report a male patient with the chronic visceral subtype who developed proteinuria and renal insufficiency at the age of 49. In renal tissue, foam cells were observed in the glomeruli as well as sphingomyelin accumulation within podocytes, mesangial cells, endothelial cells, and tubular epithelial cells. Although macrophages are the primary storage cells in both ASMD and Gaucher disease, comparison to the histopathological findings in Gaucher and Fabry disease revealed a diffuse storage pattern in multiple renal cell types, closer resembling the pattern found in Fabry disease.Eline C. B. EskesMartijn J. C. van derLiendenJoris J. T. H. RoelofsLiffert VogtJohannes M. F. G. AertsJan AtenCarla E. M. HollakWileyarticleacid sphingomyelinase deficiencyFabry diseaseGaucher diseasehistopathologyNiemann‐Pick diseaserenal manifestationsDiseases of the endocrine glands. Clinical endocrinologyRC648-665GeneticsQH426-470ENJIMD Reports, Vol 62, Iss 1, Pp 15-21 (2021) |
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acid sphingomyelinase deficiency Fabry disease Gaucher disease histopathology Niemann‐Pick disease renal manifestations Diseases of the endocrine glands. Clinical endocrinology RC648-665 Genetics QH426-470 |
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acid sphingomyelinase deficiency Fabry disease Gaucher disease histopathology Niemann‐Pick disease renal manifestations Diseases of the endocrine glands. Clinical endocrinology RC648-665 Genetics QH426-470 Eline C. B. Eskes Martijn J. C. van derLienden Joris J. T. H. Roelofs Liffert Vogt Johannes M. F. G. Aerts Jan Aten Carla E. M. Hollak Renal involvement in a patient with the chronic visceral subtype of acid sphingomyelinase deficiency resembles Fabry disease |
description |
Abstract Acid sphingomyelinase deficiency (ASMD) is a lysosomal storage disease (LSD) in which sphingomyelin accumulates due to deficient acid sphingomyelinase. In the chronic visceral subtype, organ manifestations are generally limited to the spleen, liver, and lungs. We report a male patient with the chronic visceral subtype who developed proteinuria and renal insufficiency at the age of 49. In renal tissue, foam cells were observed in the glomeruli as well as sphingomyelin accumulation within podocytes, mesangial cells, endothelial cells, and tubular epithelial cells. Although macrophages are the primary storage cells in both ASMD and Gaucher disease, comparison to the histopathological findings in Gaucher and Fabry disease revealed a diffuse storage pattern in multiple renal cell types, closer resembling the pattern found in Fabry disease. |
format |
article |
author |
Eline C. B. Eskes Martijn J. C. van derLienden Joris J. T. H. Roelofs Liffert Vogt Johannes M. F. G. Aerts Jan Aten Carla E. M. Hollak |
author_facet |
Eline C. B. Eskes Martijn J. C. van derLienden Joris J. T. H. Roelofs Liffert Vogt Johannes M. F. G. Aerts Jan Aten Carla E. M. Hollak |
author_sort |
Eline C. B. Eskes |
title |
Renal involvement in a patient with the chronic visceral subtype of acid sphingomyelinase deficiency resembles Fabry disease |
title_short |
Renal involvement in a patient with the chronic visceral subtype of acid sphingomyelinase deficiency resembles Fabry disease |
title_full |
Renal involvement in a patient with the chronic visceral subtype of acid sphingomyelinase deficiency resembles Fabry disease |
title_fullStr |
Renal involvement in a patient with the chronic visceral subtype of acid sphingomyelinase deficiency resembles Fabry disease |
title_full_unstemmed |
Renal involvement in a patient with the chronic visceral subtype of acid sphingomyelinase deficiency resembles Fabry disease |
title_sort |
renal involvement in a patient with the chronic visceral subtype of acid sphingomyelinase deficiency resembles fabry disease |
publisher |
Wiley |
publishDate |
2021 |
url |
https://doaj.org/article/0d8fd9418c5847569222bd253ca6e84e |
work_keys_str_mv |
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