Mongalgi M A, Toumi N H, Cheour M, Vanier M T, Debbabi A
Service de Médecine Infantile C, Hôpital d'Enfants de Tunis.
Arch Fr Pediatr. 1992 Mar;49(3):193-5.
The case of a 4 year-old boy presenting with dysmorphic facies, hepatomegaly, splenomegaly, growth and psychomotor retardation is reported. Radiological pattern suggested a storage disease. Bone marrow differential cell count showed numerous storage cells with vacuolated lymphocytes. Enzymatic studies showed decreased beta-galactosidase and neuraminidase levels, leading to the diagnosis of galactosialidosis. This is the first Tunisian case reported, which differs from the other cases published by the presence of a Kayser-Fleischer ring.