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Storage Diseases

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Abstract

Inborn errors of metabolism can manifest as multisystem diseases characterized by abnormal intracellular accumulation of storage material, the best known involving lysosomal enzymes. In a recent review, a less restrictive classification of lysosomal storage disorders has been proposed which includes diseases that display defects in cellular storage, synthetic enzymes, lysosome membrane or other membrane proteins, and trafficking. In the past, tissue examination for identification and characterization of storage material, including nerve biopsy, was an important means of diagnosis. However, advances in understanding of the biochemical and genetic basis of disease have revealed specific enzymatic and genetic defects in many of these conditions, and noninvasive diagnosis using genetic techniques, assays of enzyme activity in fluids or cultured cells, or detection of abnormal storage products has increasingly become the diagnostic method of choice. Nevertheless, atypical clinical manifestations or inaccessibility of advanced biochemical and genetic techniques occasionally make nerve biopsy useful in some patients, and for a small number of storage diseases, histologic examination remains essential.

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Bilbao, J.M., Schmidt, R.E. (2015). Storage Diseases. In: Biopsy Diagnosis of Peripheral Neuropathy. Springer, Cham. https://doi.org/10.1007/978-3-319-07311-8_20

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