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Phenotypic variability of krabbe disease across the lifespan.
[krabbe disease]
Krabbe
disease
(
galactocerebrosidase
deficiency
)
is
an
inherited
leukodystrophy
that
results
in
severe
neurological
defects
due
to
altered
myelination
.
Classically
,
disease
onset
is
within
the
first
year
of
life
.
Juvenile
and
adult-onset
cases
may
have
less
classic
presentations
,
making
diagnosis
difficult
and
often
delayed
.
Here
,
we
review
the
literature
to
demonstrate
the
hetereogeneity
of
presenting
symptoms
across
all
age
groups
.
We
also
discuss
diagnostic
approach
,
emphasizing
variation
in
biochemical
,
functional
,
and
genetic
results
among
Krabbe
phenotypes
.
Better
understanding
of
the
various
Krabbe
disease
phenotypes
is
critical
to
facilitate
timely
diagnosis
and
appropriate
treatment
of
this
clinically
heterogeneous
disorder
.
Diseases
Validation
Diseases presenting
"first year"
symptom
22q11.2 deletion syndrome
achondroplasia
alpha-thalassemia
aniridia
benign recurrent intrahepatic cholestasis
child syndrome
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erythropoietic protoporphyria
gm1 gangliosidosis
hirschsprung disease
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
krabbe disease
lymphangioleiomyomatosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
neonatal adrenoleukodystrophy
phenylketonuria
pleomorphic liposarcoma
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
waldenström macroglobulinemia
wolf-hirschhorn syndrome
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