[Cystinosis : Diagnosis, cystine-depleting therapy, and transition]

Internist (Berl). 2018 Aug;59(8):861-867. doi: 10.1007/s00108-018-0416-3.
[Article in German]

Abstract

This article presents a case of cystinosis in a young man. Diagnosis of the disease and the problem of transition to adult care are described. Cystinosis is a rare lysosomal storage disease with first manifestation in early childhood presenting as renal Fanconi syndrome. Without treatment, the disease leads to severe health impairment. Due to the rarity of the disease, a correct diagnosis is often delayed. Without treatment, cystinosis often leads to end-stage renal failure, blindness, hypothyroidism, diabetes mellitus, and rickets. Cystine-depleting therapy with cysteamine significantly improves mortality and quality of life.

Keywords: Cornea; Cysteamine; Fanconi syndrome; Kidney transplantation; Lysosomal storage diseases.

Publication types

  • Review

MeSH terms

  • Adult
  • Child
  • Child, Preschool
  • Cysteamine / administration & dosage
  • Cysteamine / therapeutic use*
  • Cystine / blood*
  • Cystine / metabolism*
  • Cystine Depleting Agents / administration & dosage
  • Cystine Depleting Agents / therapeutic use*
  • Cystinosis / diagnosis*
  • Cystinosis / drug therapy*
  • Fanconi Syndrome / diagnosis
  • Fanconi Syndrome / drug therapy*
  • Fanconi Syndrome / etiology
  • Humans
  • Kidney / pathology
  • Lysosomes / metabolism
  • Male
  • Quality of Life

Substances

  • Cystine Depleting Agents
  • Cystine
  • Cysteamine