Unusual case of Juvenile Tay-Sachs disease

BMJ Case Rep. 2019 Sep 12;12(9):e230140. doi: 10.1136/bcr-2019-230140.

Abstract

Tay-Sachs disease (TSD) is a type 1 gangliosidosis (GM2) and caused by hexosaminidase A deficiency resulting in abnormal sphingolipid metabolism and deposition of precursors in different organs. It is a progressive neurodegenerative disorder transmitted in an autosomal-recessive manner. There is an accumulation of GM2 in neurocytes and retinal ganglions which result in progressive loss of neurological function and formation of the cherry-red spot which is the hallmark of TSD. We report the first case of juvenile TSD from Pakistan in a child with death of an older sibling without the diagnosis.

Keywords: Genetics; Metabolic Disorders; Paediatrics.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Exome Sequencing / methods
  • Gait Disorders, Neurologic / diagnosis
  • Gait Disorders, Neurologic / etiology
  • Humans
  • Male
  • Mutation / genetics
  • Pakistan / epidemiology
  • Palliative Care / methods
  • Tay-Sachs Disease / diagnosis*
  • Tay-Sachs Disease / genetics*
  • Tay-Sachs Disease / physiopathology
  • beta-Hexosaminidase alpha Chain / genetics*

Substances

  • HEXA protein, human
  • beta-Hexosaminidase alpha Chain

Supplementary concepts

  • Tay-Sachs Disease, Juvenile