Table 1.
- | Family 1 | Family 2 | Family 3 | Family 4 | Family 5 | ||
---|---|---|---|---|---|---|---|
Patient ID | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 |
Sex | M | F | F | F | F | F | M |
Consanguinity | + | + | + | + | + | + | + |
Family history | + | + | + | + | + | + | + |
Age at last examination | 4 months | 2 months and half | 2 months | 6 months | 3 months | 2 months | 4 months |
Weight (kg)/SD | 4.5/ − 3.53SD | 5.9/ − 0.5SD | 3/ − 2.9SD | 6/ − 1.75SD | 3.5/ − 3.5SD | 3/ − 2.5SD | 4/ − 4.1SD |
Head circumference (cm)/SD | 40 | 38.5 | 39/0.2SD | 40.2/ − 1.6SD | 36/ − 2.4SD | 35/ − 0.3SD | 40.5/ − 0.3SD |
− 1.46SD | − 0.5SD | ||||||
Height (cm)/SD | 61/ − 0.87 | 59/ − 0.5SD | 58/0.16SD | 62/ − 1.35SD | 56/ − 1.4SD | 55/0.5SD | 60/ − 0.9 |
Motor development | No head support | Motor regression | Motor regression | Motor regression | No head support | No head | No head |
Mental development | Alert | Alert | Alert | Regression | Regression | Support | Support |
Onset of symptoms | 2 months | 2 months | 1 month | 1 month | 1 month | 1 month | 1 month |
Clinical presentation | GIT | GIT | GIT | GIT | GIT | GIT | GIT |
GIT symptoms | Severe | Severe | Severe | Severe | Severe | Severe | Severe |
Diarrhea | + | + | + | + | + | + | + |
Vomiting | + | + | + | + | + | + | + |
Steatorrhea | + | + | + | + | + | + | + |
Abdominal distention | + | + | + | + | + | + | + |
FTT | + | + | + | + | + | + | + |
Facies | Coarse | Coarse | Coarse | Coarse | Senile | Coarse | Coarse |
Hepatomegaly | + | + | + | + | + | + | + |
LCF manifestations | Ascites | Ascites | Ascites | Ascites | + | + | + |
Splenomegaly | + | + | + | + | + | + | + |
Hypersplenism (CBC) | Anemia | Anemia | Anemia | Anemia | Anemia | Anemia | Anemia |
6 mg/dl | 5 mg/dl | 4 mg/dl | 4 mg/dl | 4 mg/dl | 6 mg/dl | 5 mg/dl | |
Blood transfusion | Frequent | Frequent | + | + | + | + | + |
Adrenal calcifications | + bilateral | Bilateral | - | + bilateral | + | + | + |
Hepatic transaminases | Elevated | Elevated | Elevated | Elevated | + | + | + |
Serum albumin | N | N | Hypoalbuminemia | Hypoalbuminemia | Hypoalbuminemia | Hypoalbuminemia | Hypoalbuminemia |
Renal functions | N | N | N | N | N | N | N |
Acid lipase | NA | Affected | Affected | NA | Affected | Affected | Affected |
Lipid profile, serum cholesterol | Elevated | Elevated | Elevated | Elevated | Elevated | Elevated | Elevated |
LDL | Elevated | Elevated | Elevated | Elevated | Elevated | Elevated | Elevated |
HDL | Low | Low | Low | Low | Low | Low | Low |
Serum triglycerides | Elevated | Elevated | Elevated | Elevated | Elevated | Elevated | Elevated |
End stage | 4 months | 3 months | 6 months | 10 months | 4 months | 3 months | 5 months |
Cause of death | Complicated chest infection, chronic diarrhea | Complicated chest infection, chronic diarrhea | Complicated chest infection, chronic diarrhea | Complicated chest infection, chronic diarrhea | Complicated chest infection, chronic diarrhea | Complicated chest infection, chronic diarrhea | Complicated chest infection, chronic diarrhea |
GIT gastrointestinal manifestations, HDL high-density lipoprotein, FTT failure to thrive, LCF liver cell failure, LDL low-density lipoprotein