Andersen J B
Ugeskr Laeger. 1997 Feb 10;159(7):927-32.
Krabbe's disease, globoid cell leukodystrophy, is a rare autosomal recessive demyelinating neurodegenerative disease caused by reduced activity of the lysosomal enzyme galactosylceramide beta-galactosidase which is involved in myelin metabolism. More than 90% of cases are represented by the classical infantile form characterized by early onset, rapid progression and a relatively uniform clinical picture. In Denmark during 1979-1995 there were 14 enzymatically verified cases of this form (incidence 1:67,000) and two cases of the late onset form, which has a slower progression and a more varied clinical picture. A case of the late onset form is described. There is no cure for Krabbe's disease, but an early diagnosis is of great importance in order to prevent new cases by prenatal diagnosis in high-risk families.
克拉伯病,又称球状细胞脑白质营养不良,是一种罕见的常染色体隐性脱髓鞘神经退行性疾病,由参与髓鞘代谢的溶酶体酶半乳糖基神经酰胺β - 半乳糖苷酶活性降低引起。超过90%的病例为典型婴儿型,其特征为起病早、进展快且临床表现相对一致。1979年至1995年期间,丹麦有14例经酶学证实的该型病例(发病率为1:67,000)以及2例晚发型病例,晚发型进展较慢且临床表现更为多样。本文描述了一例晚发型病例。克拉伯病无法治愈,但早期诊断对于通过对高危家庭进行产前诊断来预防新发病例极为重要。