Professional Documents
Culture Documents
Aplastic Anemia
Clozapine
Chloramphenicol
NSAIDs
Benzene
Tricyclics
Doxorubicin
Daunorubicin
Cartilage Damage in
children
Cinchonism
Coronary Steal Phenomenon
Amiodarone
ACE Inhibitors
Lithium
Metronidazole
Extrapyramidal Side
Effects
Fanconis Syndrome
Fatal Hepatotoxicity
(necrosis)
Gingival Hyperplasia
Gray Baby Syndrome
Gynecomastia
Quinidine
Dipyridamole
Tetracycline
Valproic Acid
Halothane
Acetaminophen
Phenytoin
Chloramphenicol
Cimetidine
Azoles
Spironolactone
Digitalis
Estrogen & testosterone
INH & ethionamide
Clomiphine
Phenytoin
Reserpine & Methyldopa
5Flurouracil (5-FU)
Sulfonamides
Isoniazid
Aspirin
Ibuprofen
Primaquine
Hemorrhagic Cystitis
Cyclophosphamide
Ifosamide (Treat by Mesna & Acetylcysteine Bladder Wash)
Hepatitis
Isoniazid
Niacin
Tamoxifen
Hypertension: Postural
Hypertension: Rebound
Increased intra cranial
tension ( ICT)
Prazocin
Clonidine withdrawal
Amiodarone
Hypervitaminosis A
OCPs
Tetracycline
Quinolones
Barbiturates
Phenytoin
Carbamazepine
Rifampin
Cimetidine
Erythromycin
Ketoconazole
Isoniazid (INH) [remember CEKI]
Methicillin
Furosemide
Sulfonamides
Induce CP450
Inhibit CP450
Interstitial Nephritis
Nephrotoxicity
Chloropromazine
Hydralazine
Isoniazid
Methyldopa
Procainamide
Quinidine [ remember CHIMP -Q]
Tardive Dyskinesia
Tinnitus
Torsades de Pontis
Terfanadine
Multiple Myeloma
Pheochromocytoma
Neuroblastoma
Neisseria meningitidis
Strep pneumoniae
E. coli
Hib
Metasteses from Breast & Prostate
Medulloblastoma (cerebellum)
Astrocytoma (including Glioblastoma Multiforme) then: mets,
meningioma, Schwannoma
Invasive Duct Carcinoma
Fibrocystic Change (Carcinoma is the most common is postmenopausal women)
Staph aureus
Klebsiella
Hib
Bacteroides (2nd E. coli)
Staph aureus
N. Gonnorrhoeae
Strep Viridans
Myxoma Ball Valve
Rhabdomyoma
Metasteses
Dilated (Congestive) Cardiomyopathy
Renal Disease
Autoimmune (2nd infection)
21-Hydroxylase Deficiency (then, 11-)
Cause of Cushings
Cause of death in Alzheimer pts
Cause of death in Diabetics
Cause of Death in SLE pts.
Cause of Dementia
Cause of Dementia (2nd most common)
Cause of food poisoning
Cause of mental retardation
Cause of mental retardation (2nd most common)
Cause of preventable blindness
Cause of Pulmonary HTN
Cause of SIADH
Chromosomal disorder
Congenital cardiac anomaly
Congenital early cyanosis
Coronary Artery thrombosis
Demyelinating Disease
Dietary Deficiency
Disseminated opportunistic infection in AIDS
Esophageal cancer
Fatal genetic defect in Caucasians
Female Tumor
Form of Amyloidosis
Form of Tularemia
Gynecologic malignancy
Heart Murmur
Heart Valve in bacterial endocarditis
Heart Valve in bacterial endocarditis in IV drug
users
Heart Valve involved in Rheumatic Fever
Hereditary Bleeding Disorder
Liver 1 Tumor
Liver Disease
Location of Adult brain tumors
Location of Childhood brain tumors
Lysosomal Storage Disease
Motor Neuron Disease
Neoplasm Child
Neoplasm Child (2nd most common)
Nephrotic Syndrome
Opportunistic infection in AIDS
Ovarian Malignancy
Ovarian Tumor
Pancreatic Tumor
Patient with ALL / CLL / AML / CML
Patient with Goodpastures
Patient with Reiters
Pituitary Tumor
Primary Hyperparathyroidism
Pt. With Hodgkins
Pt. With Minimal Change Disease
Secondary Hyperparathyroidism
Sexually transmitted disease
Site of Diverticula
Site of metastasis
Site of metastasis (2nd most common)
Sites of atherosclerosis
Skin Cancer
Stomach cancer
Testicular Tumor
Thyroid Cancer
Tracheoesophageal Fistula
Tumor of Infancy
Type of Hodkins
Type of Non-Hodgkins
Vasculitis (of medium & small arteries)
Viral Encephalitis
Hamartoma
Adeno (usually in the head)
ALL - Child / CLL - Adult over 60 / AML - Adult over 60 / CML
- Adult 35-50
Young male
Male
Prolactinoma (2nd Somatotropic Acidophilic Adenoma)
Adenomas (followed by: hyperplasia, then carcinoma)
Young Male (except Nodular Sclerosis type Female)
Young Child
Hypocalcemia of Chronic Renal Failure
Chlamydia
Sigmoid Colon
Regional Lymph Nodes
Liver
Abdominal aorta > coronary > popliteal > carotid
Basal Cell Carcinoma
Adeno
Seminoma
Papillary Carcinoma
Lower esophagus joins trachea / upper esophagus blind pouch
Hemangioma
Mixed Cellularity (versus: lymphocytic predominance,
lymphocytic depletion, nodular sclerosis)
Follicular, small cleaved
Temporal Arteritis
HSV
Hallmark Findings
Albumino-Cytologic
Dissociation
Antiplatelet Antibodies
Arachnodactyly
Aschoff Bodies
Auer Rods
Autosplenectomy
Babinski
Basophilic Stippling of RBCs
Bence Jones Protein
Birbeck Granules
Blue Bloater
Waldenstroms macroglobinemia
histiocytosis X (eosinophilic granuloma)
Chronic Bronchitis
Boot-Shaped Heart
Bouchards Nodes
Boutonnieres Deformity
Brown Tumor
Brushfield Spots
Call-Exner Bodies
Cardiomegaly with Apical
Atrophy
Chancre
Chancroid
Charcot Triad
Charcot-Leyden Crystals
Cheyne-Stokes Breathing
Chocolate Cysts
Chvosteks Sign
Clue Cells
Codmans Triangle
Cold Agglutinins
Condyloma Lata
Cotton Wool Spots
Councilman Bodies
Crescents In Bowmans
Capsule
Currant-Jelly Sputum
Curschmanns Spirals
Depigmentation Of
Substantia Nigra
Donovan Bodies
Eburnation
Ectopia Lentis
Erythema Chronicum
Migrans
Fatty Liver
Ferruginous Bodies
Ghon Focus / Complex
Gowers Maneuver
Heberdens Nodes
Heinz Bodies
Hemorrhagic Urticaria
Heterophil Antibodies
Tetralogy of Fallot
osteoarthritis (PIP)
rheumatoid arthritis
hyperparathyroidism
Downs
granulosa cell tumor
Chagas Disease
1 Syphilis
Haemophilus ducreyi
multiple sclerosis (nystagmus, intention tremor, scanning speech)
bronchial asthma
cerebral lesion
endometriosis
Hypocalcemia facial spasm in tetany
Gardnerella vaginitis
osteosarcoma
Mycoplasma pneumoniae
infectious mononucleosis
2 Syphilis
HTN
dying hepatocytes
rapidly progressive (crescentic glomerulonephritis)
Klebsiella
bronchial asthma
Parkinsons
granuloma inguinale (STD)
osteoarthritis (polished, ivory-like appearance of bone)
Marfans
Lyme Disease
Alcoholism
asbestosis
Tuberculosis (1 & 2 , respectively)
Duchennes MD use of arms to stand
Osteoarthritis (DIP)
G6PDH Deficiency
Henoch-Schonlein
infectious mononucleosis (EBV)
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infectious mononucleosis
(EBV)
Hirano Bodies
Hypersegmented PMNs
Hypochromic Microcytic
RBCs
Jarisch-Herxheimer
Reaction
Joint Mice
Kaussmaul Breathing
Keratin Pearls
Keyser-Fleischer Ring
Kimmelstiel-Wilson Nodules
Koilocytes
Koplik Spots
Lewy Bodies
Lines of Zahn
Lisch Nodules
Lumpy-Bumpy IF Glomeruli
McBurneys Sign
Michealis-Gutmann Bodies
Monoclonal Antibody Spike
Myxedema
Negri Bodies
Neuritic Plaques
Neurofibrillary Tangles
Non-pitting Edema
Notching of Ribs
Nutmeg Liver
Painless Jaundice
Pannus
Pautriers Microabscesses
Philadelphia Chromosome
Alzheimers
Megaloblastic anemia
iron-deficiency anemia
MGUS
hypothyroidism
rabies
Alzheimers
Alzheimers
Myxedema
Anthrax Toxin
Coarctation of Aorta
CHF
pancreatic CA (head)
rheumatoid arthritis
mycosis fungoides (cutaneous T-cell lymphoma)
CML
ALL
Pick Bodies
Pink Puffer
Podagra
Port-Wine Stain
Posterior Anterior Drawer
Sign
Posterior Anterior Drawer
Sign
Psammoma Bodies
Pseudohypertrophy
Punched-Out Bone Lesions
Rash on Palms & Soles
Red Morning Urine
Reed-Sternberg Cells
Reid Index Increased
Reinke Crystals
Rouleaux Formation
S3 Heart Sound
S4 Heart Sound
Schwartzman Reaction
Simian Crease
Smith Antigen
Soap Bubble on X-Ray
Spike & Dome Glomeruli
String Sign on X-ray
Target Cells
Tendinous Xanthomas
Thyroidization of Kidney
Tophi
Tram-Track Glomeruli
Trousseaus Sign
Virchows Node
Picks Disease
Emphysema
Centroacinar smoking
deficiency
gout (MP joint of hallux)
Hemangioma
Panacinar - 1-antitrypsin
Hemangioma
tearing of the ACL
Papillary adenocarcinoma of the thyroid
Meningioma
Mesothelioma
Duchenne muscular dystrophy
multiple myeloma
2 Syphilis
RMSF
paroxysmal nocturnal hemoglobinuria
Hodgkins Disease
chronic bronchitis
Leydig cell tumor
multiple myeloma RBCs stacked as poker chips
LR Shunt (VSD, PDA)
Mitral Regurg
LV Failure
Pulmonary Stenosis
Pulmonary HTN
Neisseria meningitidis impressive rash with bugs
Downs
SLE (also anti-dsDNA)
giant cell tumor of bone
membranous glomerulonephritis
Crohns bowel wall thickening
Thalassemia
Familial Hypercholesterolemia
chronic pyelonephritis
gout
membranoproliferative glomerulonephritis
visceral ca, classically pancreatic (migratory thrombophlebitis)
Warthin-Finkeldey Giant
Cells
WBC Casts
Wire Loop Glomeruli
AFP in amniotic fluid or
mothers serum
Uric Acid
FEV1/FVC
stomach
Measles
pyelonephritis
lupus nephropathy, type IV
Spina Bifida
Anencephaly
Gout
Lesch Nyhan
Myeloproliferative Disorders
Addisons Disease
Addisonian Anemia
Albrights Syndrome
Alports Syndrome
Alzheimers
Argyll-Robertson Pupil
Arnold-Chiari Malformation
Barretts
Bartters Syndrome
Beckers Muscular
Dystrophy
Bells Palsy
Bergers Disease
Bernard-Soulier Disease
Berry Aneurysm
Bowens Disease
Briquets Syndrome
CNVII palsy (entire face; recall that UMN lesion only affects lower face)
IgA nephropathy
defect in platelet adhesion (abnormally large platelets & lack of platelet-surface glycoprotein)
circle of Willis (subarachnoid bleed)
Brocas Aphasia
Brown-Sequard
Brutons Disease
Budd-Chiari
Buergers Disease
Burkitts Lymphoma
Caisson Disease
Chagas Disease
Chediak-Higashi Disease
Conns Syndrome
Coris Disease
Creutzfeldt-Jakob
Crigler-Najjar Syndrome
Crohns
Curlings Ulcer
Cushings
Cushings Ulcer
de Quervains Thyroiditis
DiGeorges Syndrome
Downs Syndrome
Dresslers Syndrome
Dubin-Johnson Syndrome
Duchenne Muscular
Dystrophy
Edwards Syndrome
Ehlers-Danlos
Eisenmengers Complex
Erb-Duchenne Palsy
Ewing Sarcoma
Eyrthroplasia of Queyrat
Fanconis Syndrome
8:14 translocation
gas emboli
Trypansoma infection sleeping disease, cardiomegaly with apical atrophy, achlasia
Phagocyte Deficiency: neutropenia, albinism, cranial & peripheral neuropathy
repeated infections
primary aldosteronism
glycogen storage disease (debranching enzyme deficiency)
prion infection cerebellar & cerebral degeneration
congenital hyperbilirubinemia (unconjugated)
hypoparathyroidism
trisomy 21 or translocation
Post-MI Fibrinous Pericarditis autoimmune
congenital hyperbilirubinemia (conjugated)
(glycosuria,
Feltys Syndrome
Gardners Syndrome
Gauchers Disease
Gilberts Syndrome
Glanzmann's
Thrombasthenia
Goodpastures
Graves Disease
Guillain-Barre
Hamman-Rich Syndrome
Hand-Schuller-Christian
Hashimotos Thyroiditis
Hashitoxicosis
Henoch-Schonlein purpura
Hirschprungs Disease
Horners Syndrome
Huntingtons
Jacksonian Seizures
Jobs Syndrome
Kaposi Sarcoma
Kartageners Syndrome
Kawasaki Disease
Klinefelters Syndrome
Kluver-Bucy
Krukenberg Tumor
Laennecs Cirrhosis
Lesch-Nyhan
Letterer-Siwe
Libman-Sacks
Lou Gehrigs
Mallory-Weis Syndrome
Marfans
McArdles Disease
Meckels Diverticulum
Meigs Syndrome
Menetriers Disease
Monckebergs
Arteriosclerosis
Munchausen Syndrome
Nelsons Syndrome
alcoholic cirrhosis
HGPRT deficiency
embryonic duct origin; may contain ectopic tissue (gastric, pancreatic, etc.)
Triad: ovarian fibroma, ascites, hydrothorax
giant hypertrophic gastritis (enlarged rugae; plasma protein loss)
calcification of the media (usually radial & ulnar aa.)
factitious disorder (consciously creates symptoms, but doesnt know why)
1 Adrenal Cushings surgical removal of adrenals loss of negative feedback to pituitary
Pituitary Adenoma
Niemann-Pick
Osler-Weber-Rendu
Syndrome
Pagets Disease
Pancoast Tumor
Parkinsons
Peutz-Jeghers Syndrome
foamy histiocytes
Hereditary Hemorrhagic Telangiectasia
abnormal bone architecture (thickened, numerous fractures pain)
bronchogenic tumor with superior sulcus involvement Horners Syndrome
dopamine depletion in nigrostriatal tracts
melanin pigmentation of lips, mouth, hand, genitalia plus hamartomatous polyps of small intestine
Peyronies Disease
Picks Disease
Plummers Syndrome
Plummer-Vinson
Pompes Disease
Potts Disease
Potters Complex
Raynauds
Reiters Syndrome
Reyes Syndrome
Riedels Thyroiditis
Rotor Syndrome
Sezary Syndrome
Shavers Disease
Sheehans Syndrome
Shy-Drager
Simmonds Disease
Sipples Syndrome
Sjogrens Syndrome
Spitz Nevus
Stein-Leventhal
Stevens-Johnson Syndrome
Stills Disease
Takayasus arteritis
Tay-Sachs
Tetralogy of Fallot
Tourettes Syndrome
Turcots Syndrome
Turners Syndrome
Vincents Infection
von Gierkes Disease
von Hippel-Lindau
von Recklinghausens
von Recklinghausens Disease
of Bone
von Willebrands Disease
Waldenstroms
macroglobinemia
Wallenbergs Syndrome
Waterhouse-Friderichsen
Webers Syndrome
Wegeners Granulomatosis
Weils Disease
Wermers Syndrome
Wernickes Aphasia
Wernicke-Korsakoff
Syndrome
Whipples Disease
Wilsons Disease
Wiskott-Aldrich Syndrome
Wolff-Chaikoff Effect
Zenkers Diverticulum
Zollinger-Ellison
Ipsilateral: ataxia, facial pain & temp; Contralateral: body pain & temp
catastrophic adrenal insufficiency 2 to hemorrhagic necrosis (eg, DIC)
often 2 to meningiococcemia
Paramedian Infarct of Midbrain
Category
Pathogenesis / Heredity
Pathology, Cardinal
Symptoms
Cystic Fibrosis
Fanconi Anemia
Short stature,
microcephaly,
hypogenitalism,
strabismus, anomalies
of the thumbs, radii,
and kidneys, mental
retardation, and
microphthalmia.
Hartnup's Disease
Pellagra-like syndrome
(diarrhea, dementia,
dermatitis), lightsensitive skin rash,
temporary cerebellar
ataxia.
Kartagener's
Syndrome
Recurrent
sinopulmonary
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
Dehydrogenase
Deficiency
Neurologic defects.
Xeroderma
Pigmentosum
Treatment: Increase
intake of ketogenic
nutrients (leucine,
lysine) ------> increase
formation of AcetylCoA from other
sources.
Heterozygous:
accelerated
atherosclerosis.
Homozygous: accelerated
atherosclerosis, MI by
age 35, xanthomas.
Hereditary
Hemorrhagic
Telangiectasia (OslerWeber-Rendu
Syndrome)
Autosomal
Dominant
Disorders
Autosomal Dominant.
Telangiectasias of skin
and mucous membranes.
Hereditary
Spherocytosis
Autosomal
Dominant
Disorders
Sequestration of
spherocytes in spleen -----> hemolytic anemia.
Huntington's Disease
Autosomal
Dominant
Disorders
Progressive dementia
with onset in adulthood,
choreiform movements,
Genetic defect on Chrom 4 ------ athetosis.
Autosomal
Dominant
Disorders
Arachnodactyly,
dissecting aortic
aneurysms, ectopia lentis
(subluxation of lens),
mitral valve prolapse.
Neurofibromatosis
(Von Recklinghausen
Disease)
Autosomal
Dominant
Disorders
Multiple neurofibromas
(Caf au Lait spots) which
may become malignant,
Lisch nodules (pigmented
suppressor protein.
Autosomal
Dominant
Disorders
Autosomal Dominant.
Von Hippel-Lindau
Syndrome
Autosomal
Dominant
Disorders
(1) Hemangioblastomas
of cerebellum, medulla,
or retina, (2) adenomas,
(3) cysts in visceral
organs. High risk for renal
cell carcinoma.
Congenital Fructose
Intolerance
Carbohydrate
Metabolism
Defect
Severe hypoglycemia.
Treatment: Remove
fructose from diet.
Galactosemia
Carbohydrate
Metabolism
Defect
Galactokinasedeficiency: infantile
cataracts are prominent.
Treatment: in either
Mental retardation,
ataxic gait, seizures.
Inappropriate laughter.
Down Syndrome
(Trisomy 21)
Edward's Syndrome
Chromosomal Trisomy 18
Mental retardation,
micrognathia, rockerbottom feet, congenital
heart disease, flexion
deformities of fingers.
Death by 1 year old.
Chromosomal Trisomy 13
Mental retardation,
microphthalmia, cleft lip
and palate, polydactyly,
rocker-bottom feet,
congenital heart disease.
(Trisomy 18)
Patau's Syndrome
(Trisomy 13)
Fragile-X Syndrome
Klinefelter's
Syndrome (XXY)
Hypogonadism, tall
stature, gynecomastia.
Mild mental retardation.
Usually not diagnosed
until after puberty. One
Barr body seen on buccal
smear.
chromosome
Turner's Syndrome
(XO)
chromosome
XXX Syndrome
Ehlers-Danlos
Syndrome
abnormalities.
Sex
chromosome
menstrual abnormalities
or mild mental
retardation in some
cases.
Connective
Tissue
disease
Laxity of joints,
hyperextensibility of skin,
poor wound healing,
aneurysms.
Type-I: Autosomal
dominant, mildest form.
Type-IV: autosomal
dominant. Defect in
reticular collagen (type-III)
Type-VI: autosomalrecessive.
Type-VII: Defect in
collagen type I
Type-IX: X-linked recessive
Osteogenesis
Imperfecta
Connective
tissue disease
Type-I:
Diaphragmatic
hernia. Common,
normal lifeexpectancy.
Type-IV:
Ecchymoses,
arterial rupture.
Dangerous due
to rupture
aneurysms.
Type-VI: Retinal
detachment,
corneal rupture
Type-I is most
common; Type-II is
most severe; Type-IV
is mildest form.
Cori's Disease
(Glycogen Storage
Disease Type III)
Glycogen
Storage
Disease
Glycogen
Storage
Disease
Glycogen
Storage
Disease
Cardiomegaly,
hepatomegaly, and
systemic findings, leading
to early death.
Glycogen
Storage
Disease
Severe fasting
hypoglycemia,
hepatomegaly from lots
of glycogen in liver.
Hemophilia A (Factor
VIII Deficiency)
Hemophilia
Hemorrhage, hematuria,
hemarthroses. Prolonged
PTT.
Hemophilia B (Factor
IX Deficiency)
Hemophilia
Von Willebrand
Disease
Hemophilia
Hemorrhage, similar to
hemophilia.
(Glycogen Storage
Disease Type V)
Pompe's Disease
(Glycogen Storage
Disease Type II)
(Glycogen Storage
Disease Type I)
Ataxia-Telangiectasia
Immune
deficiency
Combined
Deficiency
Chdiak-Higashi
Syndrome
Immune
deficiency
Phagocyte
Deficiency
Chronic
Granulomatous
Disease
Immune
deficiency
Phagocyte
Deficiency
Chronic
Mucocutaneous
Candidiasis
Immune
deficiency
Cerebellar ataxia,
telangiectasia (enlarged
capillaries of face and
skin), B and T-Cell
deficiencies, IgA
deficiency.
Defect in polymerization of
microtubules in neutrophils ------>
failure in neutrophil migration and
phagocytosis. Also results in failure
in lysosomal function in
neutrophils.
Recurrent pyogenic
infections,
Staphylococcus,
Streptococcus.
Failure of phagocytes
leads to susceptibility to
infections, especially
Staph Aureus and
Aspergillus spp. B and T
cells usually remain
normal.
Selective recurrent
Candida infections. Treat
with anti-fungal drugs.
T-Cell
Deficiency
Job's Syndrome
Immune
deficiency
Phagocyte
Deficiency
Selective IgA
Deficiency
Immune
deficiency
B-Cell
Deficiency
Immune
deficiency
Combined
Deficiency
Thymic Aplasia
(DiGeorge Syndrome)
Immune
deficiency
T-Cell
Deficiency
Wiskott-Aldrich
Syndrome
Immune
deficiency
Combined
Deficiency
X-Linked
Agammaglobulinemia
(Bruton's Disease)
Immune
deficiency
B-Cell
Deficiency
Fabry's Disease
Lysosomal
Storage
Disease
In infancy, recurrent
pyogenic infections,
eczema,
thrombocytopenia,
excessive bleeding. IgG
levels remain normal.
Recurrent pyogenic
infections after 6 months
(when maternal
antibodies wear off). Can
treat with polyspecific
gamma globulin
preparations.
Angiokeratomas (skin
lesions) over lower trunk,
fever, severe burning
pain in extremities,
cardiovascular and
cerebrovascular
involvement.
Gaucher's Disease
Lysosomal
Storage
Disease
Autosomal Recessive.
Glucocerebrosidase deficiency -----> accumulation of
glucocerebrosides (gangliosides,
sphingolipids) in lysosomes
throughout the body.
Type-I: Adult
form. 80% of
cases, retain
partial activity.
Hepatosplenome
galy, erosion of
femoral head,
mild anemia.
Normal lifespan
with treatment.
Type-II: Infantile
form. Severe CNS
involvement.
Death before age
1.
Type-III: Juvenile
form. Onset in
early childhood,
involving both
CNS and viscera,
but less severe
than Type II.
Niemann-Pick
Lipidosis
Lysosomal
Storage
Disease
Autosomal Recessive.
Sphingomyelinase deficiency -----> accumulation of sphingomyelin
in phagocytes.
Sphingomyelincontaining foamy
histiocytes in
reticuloendo-thelial
system and spleen.
Hepatosplenomegaly,
anemia, fever,
sometimes CNS
deterioration. Death by
age 3.
Hunter's Syndrome
Lysosomal
Storage
Disease
Hurler's Syndrome
Lysosomal
Storage
Disease
Gargoyle-like facies,
progressive mental
deterioration, stubby
fingers, death by age 10.
Similar to Hunter's
Syndrome.
Tay-Sachs Disease
Lysosomal
Storage
Disease
Autosomal Recessive.
Hexosaminidase A deficiency -----> accumulation of GM2 ganglioside
in neurons.
CNS degeneration,
retardation, cherry redspot of macula, blindness
(amaurosis). Death
before age 4.
Albinism
Nitrogen
Metabolism
Defect
Depigmentation, pink
eyes, increased risk of
skin cancer.
Alkaptonuria
Nitrogen
Metabolism
Defect
Autosomal Recessive.
Homogentisic Oxidase deficiency
(inability to metabolize Phe and
Tyr) ------> buildup and urinary
excretion of homogentisic acid.
Homocystinuria
Nitrogen
Metabolism
Defect
Autosomal Recessive.
Cystathionine synthase defect
(either deficiency, or lost affinity
for pyridoxine, Vit. B6) ------>
buildup of homocystine and
deficiency of cysteine.
Mental retardation,
ectopia lentis, sparse
blond hair, genu valgum,
failure to thrive,
thromboembolic
episodes, fatty changes
of liver.
Treatment: Cysteine
supplementation, give
excess pyridoxine to
Nitrogen
Metabolism
Defect
Hyperuricemia (gout),
mental retardation, selfmutilation (autistic
behavior),
choreoathetosis,
spasticity.
Nitrogen
Metabolism
Defect
Phenylketonuria
(PKU)
Nitrogen
Metabolism
Defect
Autosomal Recessive.
Phenylalanine hydroxylase
deficiency (cannot break down Phe
nor make Tyr) ------> buildup of
phenylalanine, phenyl ketones
(phenylacetate, phenyl lactate,
phenylpyruvate) in body tissues
and CNS.
Treatment: remove
phenylalanine from
diet.
Glucose-6-Phosphate
Dehydrogenase
(G6PD) Deficiency
RBC Disease
Susceptibility to oxidative
damage to RBC's, leading
to hemolytic anemia.
Can be elicited by drugs
(primaquine,
sulfonamides, aspirin),
fava beans (favism).
More prevalent in blacks.
Glycolytic enzyme
deficiencies
RBC Disease
Autosomal Recessive
Polycystic Kidney
Disease (ARPKD)
Renal
Autosomal Recessive.
Numerous, diffuse
bilateral cysts formed in
the collecting ducts.
Associated with hepatic
fibrosis.
Bartter's Syndrome
Renal
Fanconi's Syndrome
Type I
Renal
Renal
Similar to Fanconi
Syndrome Type I, but
without the cystinosis.
Adult onset
osteomalacia, aminoaciduria, polyuria,
glycosuria.
Renal
Autosomal Dominant.
Numerous, disparate,
heterogenous renal cysts
(Child-onset
cystinosis)
Fanconi's Syndrome II
(Adult-onset)
Autosomal Dominant
Polycystic Kidney
Disease (ADPKD)
Autosomal
Dominant
Disorders
occurring bilaterally.
Onset in adult life.
Associated with liver
cysts.