title: Cholesterol ester storage disease: clinical, biochemical, and pathological studies of four new cases.
abstract: Cholesterol ester storage disease (CESD) is infrequent in children. Four new cases in two nonrelated families are presented. Acid lipase deficiency in the leukocytes of the patients and reduced activity (50%) in those of parents were demonstrated. Clinical manifestations varied from neonatal cholestasis to asymptomatic hepatomegaly. Hepatic histology showed lipid vacuoles and cholesterol ester storage in hepatocytes and Kupffer cells. Increased levels of cholesterol and hepatomegaly were the first findings. There is as yet no specific treatment for CESD; however, the early detection of cases would make possible the timely control of complications.
authors.affiliation: Department of Pediatrics, Hospital Italiano-Buenos Aires, Argentina.
authors.forename: D
authors.initials: D
authors.lastname: D'Agostino
authors.forename: L
authors.initials: L
authors.lastname: Bay
authors.forename: G
authors.initials: G
authors.lastname: Gallo
authors.forename: N
authors.initials: N
authors.lastname: Chamoles
mesh_terms: D002648:Child; D002788:Cholesterol Esters / Q000378:metabolism*; D005260:Female; D006529:Hepatomegaly / Q000201:enzymology; D006720:Homozygote; D006801:Humans; D006937:Hypercholesterolemia / Q000378:metabolism; D007728:Kupffer Cells / Q000201:enzymology; D007962:Leukocytes / Q000201:enzymology; D008052:Lipid Metabolism, Inborn Errors / Q000235:genetics / Q000378:metabolism / Q000473:pathology; D008071:Lipoprotein Lipase / Q000172:deficiency; D008099:Liver / Q000201:enzymology / Q000473:pathology; D008297:Male
chemical_list: D002788:Cholesterol Esters; D008071:Lipoprotein Lipase