Professional Documents
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Symptoms
Cystic Fibrosis Autosomal Recessive. Meconium ileus (caused
CFTR gene defect on by thick, mucoid
Chrom 7 ------> No Cl- meconium), respiratory
transport and failure to bronchiectasis,
hydrate mucous secretions Pseudomonas pneumonia,
(no NaCl transport) ------> pancreatic insufficiency,
excessively viscous mucoid hypertonic (high Cl-
exocrine secretions concentration) sweat.
Fanconi Anemia Autosomal Recessive Normocytic anemia with
congenital pancytopenia. neutropenia.
Short stature,
microcephaly,
hypogenitalism,
strabismus, anomalies of
the thumbs, radii, and
kidneys, mental
retardation, and
microphthalmia.
Hartnup's Disease Autosomal Recessive. Pellagra-like syndrome
Defect in GI uptake of (diarrhea, dementia,
neutral amino acids ------> dermatitis), light-sensitive
malabsorption of skin rash, temporary
tryptophan (niacin cerebellar ataxia.
precursor) ------> niacin
deficiency among other
things.
Kartagener's Autosomal Recessive. Recurrent
Syndrome Defect in dynein arms ------ sinopulmonary
> lost motility of cilia infections (due to
impaired ciliary tract).
Situs inversus, due to
impaired ciliary motion
during embryogenesis:
lateral transposition of
lungs, abdominal and
thoracic viscera are on
opposite sides of the body
as normal. Possible
dextrocardia, male
sterility.
Pyruvate Autosomal Recessive. Neurologic defects.
Dehydrogenase Pyruvate Dehydrogenase
Deficiency deficiency ------> buildup of Treatment: Increase intake
lactate and pyruvate ------> of ketogenic nutrients
lactic acidosis. (leucine, lysine) ------>
increase formation of
Acetyl-CoA from other
sources.
Xeroderma Autosomal Recessive. Dry skin, melanomas, pre-
Pigmentosum Defect in DNA repair, malignant lesions, other
inability to repair thymine cancers. Ophthalmic and
dimers resulting from UV- neurologic abnormalities.
light exposure ------>
excessive skin damage and
skin cancer.
Familial Autosomal Autosomal Dominant. LDL- Heterozygous: accelerated
Hypercholesterolemia Dominant Receptor defect. atherosclerosis.
Disorders Homozygous: accelerated
atherosclerosis, MI by age
35, xanthomas.
Hereditary Autosomal Autosomal Dominant. Telangiectasias of skin
Hemorrhagic Dominant and mucous membranes.
Telangiectasia (Osler- Disorders
Weber-Rendu
Syndrome)
Hereditary Autosomal Autosomal Dominant. Sequestration of
Spherocytosis Dominant Band-3 deficiency in RBC spherocytes in spleen
Disorders membrane ------> spherical ------> hemolytic anemia.
shape to cells. Other RBC
structural enzyme
deficiencies can cause it,
too.
Huntington's Disease Autosomal Autosomal Dominant, Progressive dementia with
Dominant 100% penetrance. onset in adulthood,
Disorders choreiform movements,
Genetic defect on Chrom 4 athetosis.
------> atrophy of caudate
nuclei, putamen, frontal
cortex.
Marfan's Syndrome Autosomal Autosomal Dominant. Arachnodactyly,
Dominant Fibrillin deficiency ------> dissecting aortic
Disorders faulty scaffolding in aneurysms, ectopia lentis
connective tissue (elastin (subluxation of lens),
has no anchor). mitral valve prolapse.
Neurofibromatosis Autosomal Autosomal Dominant. NF1 Multiple neurofibromas
(Von Recklinghausen Dominant gene defect (no GTPase (Café au Lait spots) which
Disease) Disorders protein) ------> may become malignant,
dysregulation of Ras tumor- Lisch nodules
suppressor protein. (pigmented hamartomas
of the iris).
• Type-III: Juvenile
form. Onset in
early childhood,
involving both
CNS and viscera,
but less severe
than Type II.
Niemann-Pick Lysosomal Autosomal Recessive. Sphingomyelin-
Lipidosis Storage Sphingomyelinase containing foamy
Disease deficiency ------> histiocytes in
accumulation of reticuloendo-thelial
sphingomyelin in system and spleen.
phagocytes. Hepatosplenomegaly,
anemia, fever, sometimes
CNS deterioration. Death
by age 3.
Hunter's Syndrome Lysosomal X-Linked Recessive. L- Similar to but less severe
Storage iduronosulfate sulfatase than Hurler Syndrome.
Disease deficiency ------> buildup of Hepatosplenomegaly,
mucopolysaccharides micrognathia, retinal
(heparan sulfate and degeneration, joint
dermatan sulfate) stiffness, mild retardation,
cardiac lesions.
Hurler's Syndrome Lysosomal Autosomal Recessive. Gargoyle-like facies,
Storage alpha-L-iduronidase progressive mental
Disease deficiency ------> deterioration, stubby
accumulation of fingers, death by age 10.
mucopolysaccharides Similar to Hunter's
(heparan sulfate, dermatan Syndrome.
sulfate) in heart, brain, liver,
other organs.
Tay-Sachs Disease Lysosomal Autosomal Recessive. CNS degeneration,
Storage Hexosaminidase A retardation, cherry red-
Disease deficiency ------> spot of macula, blindness
accumulation of GM2 (amaurosis). Death before
ganglioside in neurons. age 4.
Albinism Nitrogen Autosomal Recessive. Depigmentation, pink
Metabolism Tyrosinase deficiency ------ eyes, increased risk of
Defect > inability to synthesize skin cancer.
melanin from tyrosine. Can
result from a lack of
migration of neural crest
cells.
Alkaptonuria Nitrogen Autosomal Recessive. Urine turns dark and
Metabolism Homogentisic Oxidase black on standing,
Defect deficiency (inability to ochronosis (dark
metabolize Phe and Tyr) pigmentation of fibrous
------> buildup and urinary and cartilage tissues),
excretion of homogentisic ochronotic arthritis,
acid. cardiac valve
involvement. Disease is
generally benign.
Homocystinuria Nitrogen Autosomal Recessive. Mental retardation,
Metabolism Cystathionine synthase ectopia lentis, sparse
Defect defect (either deficiency, or blond hair, genu valgum,
lost affinity for pyridoxine, failure to thrive,
Vit. B6) ------> buildup of thromboembolic episodes,
homocystine and deficiency fatty changes of liver.
of cysteine.
Treatment: Cysteine
supplementation, give
excess pyridoxine to
compensate for lost
pyridoxine affinity.
Lesch-Nyhan Nitrogen X-Linked Recessive. Hyperuricemia (gout),
Syndrome Metabolism Hypoxanthine-Guanine mental retardation, self-
Defect Phosphoribosyltransferase mutilation (autistic
(HGPRT) deficiency ------> behavior),
no salvage pathway for choreoathetosis,
purine re-synthesis ------> spasticity.
buildup of purine
metabolites
Maple Syrup Urine Nitrogen Autosomal Recessive. Severe CNS defects,
Disease Metabolism Deficiency of branched mental retardation, death.
Defect chain keto-acid Person smells like maple
decarboxylase ------> no syrup or burnt sugar.
degradation of branched- Treatment: remove the
chain amino acids ------> amino acids from diet.
buildup of isoleucine,
valine, leucine.
Phenylketonuria Nitrogen Autosomal Recessive. Symptoms result from
(PKU) Metabolism Phenylalanine hydroxylase accumulation of
Defect deficiency (cannot break phenylalanine itself.
down Phe nor make Tyr) Mental deterioration,
------> buildup of hypopigmentation (blond
phenylalanine, phenyl hair and blue eyes),
ketones (phenylacetate, mousy body odor (from
phenyl lactate, phenylacetic acid in urine
phenylpyruvate) in body and sweat).
tissues and CNS.
Treatment: remove
phenylalanine from diet.
Glucose-6-Phosphate RBC Disease X-Linked Recessive. Susceptibility to oxidative
Dehydrogenase Glucose-6-Phosphate damage to RBC's, leading
(G6PD) Deficiency Dehydrogenase (G6PD) to hemolytic anemia.
deficiency ------> no hexose Can be elicited by drugs
monophosphate shunt ------ (primaquine,
> deficiency in NADPH sulfonamides, aspirin),
------> inability to maintain fava beans (favism). More
glutathione in reduced prevalent in blacks.
form, in RBC's
Glycolytic enzyme RBC Disease Autosomal Recessive. Hemolytic anemia results
deficiencies Defect in hexokinase, from any defect in the
glucose-phosphate glycolysis pathway, as
isomerase, aldolase, triose- RBC's depend on
phosphate isomerase, glycolysis for energy.
phosphate-glycerate kinase,
or enolase. Any enzyme in
glycolysis pathway.
Autosomal Recessive Renal Autosomal Recessive. Numerous, diffuse
Polycystic Kidney bilateral cysts formed in
Disease (ARPKD) the collecting ducts.
Associated with hepatic
fibrosis.
Bartter's Syndrome Renal Juxtaglomerular Cell Elevated renin and
Hyperplasia, leading to aldosterone, hypokalemic
primary hyper-reninemia. alkalosis. No
hypertension.
Fanconi's Syndrome Renal Autosomal Recessive. (1) Cystine deposition
Type I Deficient resorption in throughout body,
proximal tubules. cystinuria. (2) Defective
(Child-onset tubular resorption leads to
cystinosis) amino-aciduria, polyuria,
glycosuria, chronic
acidosis;
Hypophosphatemia and
Vitamin-D-resistant
Rickets.
Fanconi's Syndrome Renal Autosomal Recessive. Similar to Fanconi
II Defective resorption in Syndrome Type I, but
proximal tubules. without the cystinosis.
(Adult-onset) Adult onset osteomalacia,
amino-aciduria, polyuria,
glycosuria.
Autosomal Dominant Renal Autosomal Dominant. Numerous, disparate,
Polycystic Kidney heterogenous renal cysts
Disease (ADPKD) Autosomal occurring bilaterally.
Dominant Onset in adult life.
Disorders Associated with liver
cysts.