Krabbe Disease: Report of a Rare Lipid Storage and Neurodegenerative Disorder
- PMID: 28168127
- PMCID: PMC5289898
- DOI: 10.7759/cureus.949
Krabbe Disease: Report of a Rare Lipid Storage and Neurodegenerative Disorder
Abstract
Krabbe disease is a rare (one in 100,000 births) autosomal recessive condition, usually noticed among children. It causes sphingolipidosis (dysfunctional metabolism of sphingolipids) and leads to fatal degenerative changes affecting the myelin sheath of the nervous system. We report a case of a six-year-old male child who presented with symptoms of muscle spasticity and irritability. Diagnosis of this disease can only be made with clinical suspicion. Laboratory diagnosis includes brain magnetic resonance imaging (MRI), magnetic resonance (MR) spectroscopy, biochemical analysis of cerebrospinal fluid, and genetic analysis for detecting mutation in genes coding for galactosyl cerebroside (GALC). We report a case of late infantile Krabbe disease.
Keywords: autosomal recessive sphingolipidosis; galactosyl cerebroside; globoid cell leukodystrophy; krabbe disease; progressive neurologic degeneration.
Conflict of interest statement
The authors have declared that no competing interests exist.
Figures
Similar articles
-
Mutations in GALC cause late-onset Krabbe disease with predominant cerebellar ataxia.Neurogenetics. 2016 Apr;17(2):137-41. doi: 10.1007/s10048-016-0476-2. Epub 2016 Feb 26. Neurogenetics. 2016. PMID: 26915362
-
Krabbe Disease.2023 Aug 23. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. 2023 Aug 23. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 32965986 Free Books & Documents.
-
A 5-year-old male child with late infantile metachromatic leukodystrophy: a case report.J Child Neurol. 2015 Mar;30(4):483-5. doi: 10.1177/0883073814542948. Epub 2014 Aug 12. J Child Neurol. 2015. PMID: 25117420
-
Insights into the Pathogenesis and Treatment of Krabbe Disease.Pediatr Endocrinol Rev. 2016 Jun;13 Suppl 1:689-96. Pediatr Endocrinol Rev. 2016. PMID: 27491217 Review.
-
Molecular genetics of Krabbe disease (globoid cell leukodystrophy): diagnostic and clinical implications.Hum Mutat. 1997;10(4):268-79. doi: 10.1002/(SICI)1098-1004(1997)10:4<268::AID-HUMU2>3.0.CO;2-D. Hum Mutat. 1997. PMID: 9338580 Review.
Cited by
-
Mesenchymal Stem Cell-Based Therapy for Lysosomal Storage Diseases and Other Neurodegenerative Disorders.Front Pharmacol. 2022 Mar 2;13:859516. doi: 10.3389/fphar.2022.859516. eCollection 2022. Front Pharmacol. 2022. PMID: 35308211 Free PMC article. Review.
-
Infantile Krabbe disease (0-12 months), progression, and recommended endpoints for clinical trials.Ann Clin Transl Neurol. 2024 Dec;11(12):3064-3080. doi: 10.1002/acn3.52114. Epub 2024 Nov 5. Ann Clin Transl Neurol. 2024. PMID: 39499628 Free PMC article.
-
Unrelated umbilical cord blood transplantation for children with hereditary leukodystrophy: A retrospective study.Front Neurol. 2022 Sep 30;13:999919. doi: 10.3389/fneur.2022.999919. eCollection 2022. Front Neurol. 2022. PMID: 36247778 Free PMC article.
-
Ceramide and Sphingosine Regulation of Myelinogenesis: Targeting Serine Palmitoyltransferase Using microRNA in Multiple Sclerosis.Int J Mol Sci. 2019 Oct 11;20(20):5031. doi: 10.3390/ijms20205031. Int J Mol Sci. 2019. PMID: 31614447 Free PMC article. Review.
-
Diverse Biological Functions of Sphingolipids in the CNS: Ceramide and Sphingosine Regulate Myelination in Developing Brain but Stimulate Demyelination during Pathogenesis of Multiple Sclerosis.J Neurol Psychol. 2017 Dec;5(1):10.13188/2332-3469.1000035. doi: 10.13188/2332-3469.1000035. Epub 2017 Dec 23. J Neurol Psychol. 2017. PMID: 30338269 Free PMC article.
References
-
- Psychosine accumulates in membrane microdomains in the brain of Krabbe patients, disrupting the raft architecture. White AB, Givogri MI, Lopez-Rosas A, Cao H, van Breemen R, Thinakaran G, Bongarzone ER. http://www.ncbi.nlm.nih.gov/pubmed/?term=19439584. J Neurosci. 2009;29:6068–6077. - PMC - PubMed
-
- Krabbe disease: isolation and characterisation of a full-length cDNA for human galactocerebrosidase. Sakai N, Inui K, Fujii N, Fukushima H, Nishimoto J, Yanagihara I, Isegawa Y, Iwamatsu A, Okada S. Biochem Biophys Res Commun. 1994;198:485–491. - PubMed
-
- Fu L, Inui K, Nishigaki T, et al. J Inherit Metab Dis. Vol. 22. New: 1999. Molecular heterogeneity of Krabbe disease; pp. 155–162. - PubMed
-
- Galactosylceramide lipidosis: novel presentation as a slowly progressive spinocerebellar degeneration. Thomas PK, Halpern JP, King RH, Patrick D. Ann Neurol. 1984;16:618–620. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources