Tay-Sachs disease
Life-threatening disorder
Description
Lipid storage disease that results from a congenital enzyme deficiency
Leads to progressive mental and motor deterioration
Always fatal, usually before age 5
About 100 times more common (about 1 in 3,600 live births) in those with Ashkenazic Jewish ancestry than in the general population
About 1 in 30 Ashkenazi Jews, French Canadians, and American Cajuns heterozygous carriers of the gene for this disorder
Rare form occurring in people between ages 20 and 30
No known cure
Pathophysiology
In this autosomal recessive disorder, the enzyme hexosaminidase A is absent or deficient.
Without hexosaminidase A, lipid pigments (ganglioside GM2) accumulate and progressively destroy and demyelinate central nervous system cells.
Juvenile form typically appears between ages 2 and 5 as a progressive deterioration of psychomotor skills and gait.
Assessment findings
Familial history of Tay-Sachs disease
Normal appearance at birth (but with possible exaggerated Moro’s reflex)
Onset of clinical signs and symptoms between ages 5 and 6 months
Progressive deterioration
Psychomotor retardation
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