Phenotype |
Juvenile |
Infantile |
Age of onset |
6 months |
Birth |
Age at diagnosis |
18 months |
4 months |
Presentation |
Developmental regression, delayed psychomotor development, coarse facial features, macroglossia, abdominal distention, and thick skin with Mongolian spots |
Developmental regression, hypotonia, bilateral hydrocele, and visceromegaly |
Eye |
Normal |
Cherry red spot |
Heart |
Normal |
Dilated cardiomyopathy, Hypertrophied left atrium/ventricle, and poor contractility of left ventricle |
Skeleton |
Scoliosis and beaking of the lumbar vertebral bodies |
Normal |
Liver/spleen |
Hepatosplenomegaly |
Hepatomegaly |
Nervous system |
White matter demyelination and cortical atropy |
White matter demyelination, cortical atropy, and seizure |
Bone marrow |
Foamy histiocytes and progressive leukomalacia |
Foamy histiocytes |
Age of death |
2 years, 2 months |
2 years |
β-galactosidase activity |
2% of control value in fibroblast |
< 1% of control value in fibroblast |
Genetic defect |
|
|
Allele 1 |
c.304C > G (p.H102 D, inherited from father) |
c.495_497delTCT (p.L166del, inherited from mother) |
Allele 2 |
c.902C > T (p.A301V, inherited from mother) |
c.1481G > T (p.G494V, inherited from father) |
Polymorphisms |
p.L10P |
p.L10P |