Wolf H
Monatsschr Kinderheilkd. 1981 Dec;129(12):662-5.
Storage of cholesterol, cholesterol esters, and triglycerides with distribution in different organs is characteristical in 5 distinguishable familiary thesaurismoses. Cholesterol storage disease is due to relatively benign storage of cholesterol esters predominantly in the liver with gross enlargment of this organ. Acid lipase is lysosomes is also nearly inactive in the maligne Wolman's disease with calcification of the adrenals, hepatosplenomegalia and death during infancy by gastrointestinal complications. Very similar are other diseases without renal calcification but partly with pulmonal storage of cholesterol. In only one family another type of cholesterol lipidosis and cirrhosis together with aplasia of gall bladder, renal cysts, and hydronephrosis has been observed. Two types of pure triglyceride storage disease are described, but each of them in only few cases. Tendinous xanthomatosis by storage of cholestanol predominantly in brain with mental retardation, and xanthomatosis with beta-sitosterol but normal mental development are two rare steatoses with abnormal cholesterol-like lipids, in which xanthomatas are visible.
胆固醇、胆固醇酯和甘油三酯在不同器官中的储存及分布情况在5种可区分的家族性贮积病中具有特征性。胆固醇贮积病是由于胆固醇酯主要在肝脏中相对良性地储存,导致肝脏明显肿大。在恶性的沃尔曼病中,溶酶体中的酸性脂肪酶几乎没有活性,会出现肾上腺钙化、肝脾肿大,婴儿期因胃肠道并发症死亡。其他疾病与之非常相似,但没有肾钙化,部分有肺部胆固醇储存。仅在一个家族中观察到另一种类型的胆固醇脂质沉积症和肝硬化,同时伴有胆囊发育不全、肾囊肿和肾积水。描述了两种类型的纯甘油三酯贮积病,但每种情况都仅见于少数病例。以脑内胆甾烷醇储存为主并伴有智力发育迟缓的腱黄瘤病,以及伴有β-谷甾醇但智力发育正常的黄瘤病,是两种罕见的脂肪代谢障碍,伴有异常的类胆固醇脂质,其中可见黄瘤。