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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Autores principales: 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
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Publicado: Wiley 2021
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Acceso en línea:https://doaj.org/article/0d8fd9418c5847569222bd253ca6e84e
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic 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
spellingShingle 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
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