For additional information on Sialidosis, please see the detailed
information archived and updated on the Online
Mendelian Inheritance in Man.
Frequently Asked Questions:
what is
sialidosis? | when
is the onset of sialidosis? | what
are the symptoms? | what
causes sialidosis?
what population is
affected? | what
are the treatments?
1). What is Sialidosis? Sialidosis is a very rare inherited metabolic
disorder characterized by a deficiency of the enzyme alpha-neuraminidase. This disorder belongs to a group of disorders known as
Lysosomal
Storage Diseases. Alternately known as Mucolipidosis I, Sialidosis has
long been characterized as being one of the Mucolipidoses. However,
it is now believed to be more appropriately identified as an
Oligosaccharide Storage Disease.
2). When is the onset of Sialidosis? It depends on the type of Sialidosis as
there are two types. Sialidosis I begins in adolescence and is a milder form
of the disorder. Sialidosis II is the more severe form of the disorder and it
can be present at birth or anytime during infancy.
3). What are the symptoms of Sialidosis? Sialidosis I may include
involuntary muscle contractions (myoclonus), red spots in the eyes (cherry-red
macules), inability to coordinate voluntary movement (ataxia), tremors, impaired vision, night blindness, and seizures. Sialidosis II may be
characterized by coarse facial features, bone malformations (dysostosis multiplex), abnormal enlargement of the liver and spleen
(hepatosplenomegaly), mental retardation, profound abdominal swelling, lack
of muscle tone (hypotonia), loss of muscle tissue (atrophy), and difficulty
breathing (dyspnea).
4). What causes Sialidosis? Sialidosis is inherited as an autosomal recessive
genetic trait. The absence of the enzyme caused by the gentic defect, results
in the accumulation of certain complex carbohydrates (mucopolysaccharides)
and fatty substances (mucolipids).
5). What
population does Sialidosis affect? It is very rare and affects males and females in equal numbers. It is thought to occur in 1 in 250,000
live births in the United States. Sialidosis I seems more prevalent in Italian ancestry, while Type II may be more prevalent in people of Japanese
descent.
6). What are the treatments for Sialidosis? Treatment generally consists of
supportive medical treatment for symptoms. There are experimental therapies
being developed such as bone marrow transplantation and gene therapy.
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