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Neuroectodermal Melanolysosomal Disease
Neuroectodermal melanolysosomal disease

Presentation

Abnormal melanocytes and melanosomes and abnormal inclusion bodies in fibroblasts may be present. Differential diagnosis with Chédiak-Higashi syndrome and Griscelli syndrome must be done. [wwww.unboundmedicine.com]

No abnormal cytoplasmic granules were present in leukocytes. A different distribution of melanin in small and large clumps irregularly arranged along the hair shaft was observed. [jamanetwork.com]

Primary neurological presentation is rare. [casereports.in]

The documents contained in this web site are presented for information purposes only. The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]

GS type 3 presents with hypopigmentation of skin and hair without any systemic involvement. No treatment is required. [aad.org]

Workup

Sepsis workup and CSF study including cytospin for malignant cells were negative. LDH was mildly elevated and serum ferritin, fibrinogen levels, triglycerides were normal ruling out possibility of hemo-phagocytosis [Table 1]. [casereports.in]

Treatment

Management and treatment Treatment for ES remains limited: corticosteroids, anticonvulsants and antipyretics fail to prevent early death from severe neurologic dysfunction. [orpha.net]

There is currently no effective treatment. « Pityriasis Alba & Skin Pigmentation Griscelli Syndrome & Skin Pigmentation » [healthcentre.org.uk]

However, he did not respond to treatment and died. [scielo.br]

Treatment is with an allogeneic hematopoietic stem cell transplantation. [aad.org]

It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice . [uniprot.org]

Prognosis

Prognosis - Hypomelanotic disorder Not supplied. Treatment - Hypomelanotic disorder Not supplied. Resources - Hypomelanotic disorder Not supplied. [checkorphan.org]

Prognosis All cases of Elejalde syndrome but one have been reported as being fatal; therefore, the prognosis is suboptimal. Patients with Elejalde syndrome undergo neurologic collapse and eventually are not able to move or care for themselves. [emedicine.medscape.com]

The prognosis of patients with Griscelli syndrome is grave. Curative hope is offered only by bone marrow or stem cell transplantation, which is more successful when, performed early in the course of the disease(8). [indianpediatrics.net]

Etiology

Etiology The etiology of ES is still unknown, but recent molecular data have shed light on the complex relationship that exists between ES and the Griscelli syndrome (see this term). [orpha.net]

Etiology mutations in MYO5A, which codes for an actin-based molecular motor. [humpath.com]

Etiology Biochemical pathway leading to melanin production. Note that Tyrosinase is essential for the first two steps of the pathway. [eyewiki.aao.org]

Epidemiology

Summary Epidemiology The syndrome was first described in 1979 in three consanguineous families. To date, about 20 patients have been reported in the literature. [orpha.net]

- Elejalde disease - Elejalde syndrome Classification (Orphanet): - Rare developmental defect during embryogenesis - Rare eye disease - Rare genetic disease - Rare neurologic disease - Rare skin disease Classification (ICD10): (no data available) Epidemiological [csbg.cnb.csic.es]

Relevant External Links for MYO5A Genetic Association Database (GAD) MYO5A Human Genome Epidemiology (HuGE) Navigator MYO5A Atlas of Genetics and Cytogenetics in Oncology and Haematology: MYO5A No data available for Genatlas for MYO5A Gene Cloning, analysis [genecards.org]

"Blood Pressure" [SH] (epidemiology AND humans) [SH] SI Secondary Source ID The SI field identifies secondary source databanks and accession numbers, e.g., GenBank, GEO, PubChem, ClinicalTrials.gov, ISRCTN. [biomedsearch.com]

Pathophysiology

Pathophysiology The pathophysiology of Elejalde syndrome is not fully understood. Some have stated that it is the result of a distorted gene product responsible for early melanin formation. [emedicine.medscape.com]

Prevention

Management and treatment Treatment for ES remains limited: corticosteroids, anticonvulsants and antipyretics fail to prevent early death from severe neurologic dysfunction. [orpha.net]

[…] type 1 Vogt-Koyanagi-Harada syndrome Hydroquinone Idiopathic guttate hypomelanosis Onchocerciasis Pinta Menke disease Yemenite deaf-blind hypopigmentation syndrome Anetoderma Azelaic acid Angelman\'s syndrome Tuberous sclerosis Anemia Actinic granuloma Prevention [checkorphan.org]

For long term storage, store at -20C in small aliquots to prevent freeze-thaw cycles. [avivasysbio.com]

In summary, the silvery-greyish hair associated with fever, pancytopenia and hypertriglyceridemia is the clue to early diagnosis of Griscelli syndrome and important to prevent death before stem cell transplantation. 1. [e-ijd.org]

CDC [CN] Centers for Disease Control and Prevention" [CN] DP Publication Date The date that the article was published. 2007/1/31[DP] 2001/3:2001/10[DP] 2009[DP] DTRE Date Revised The date a change was last made to a record as a result of NLM's individual [biomedsearch.com]

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