Metachromatic leukodystrophy (MLD) is a genetic disorder that affects nerves, muscles, other organs, and behavior. It slowly gets worse over time VSports手机版.
"V体育ios版" Causes
MLD is usually caused by the lack of an important enzyme called arylsulfatase A (ARSA) V体育安卓版. Because this enzyme is missing, chemicals called sulfatides build up in the body and damage the nervous system, kidneys, gallbladder, and other organs. In particular, the chemicals damage the protective sheaths that surround nerve cells.
The disease is passed down through families (inherited) V体育ios版. You must get a copy of the variant gene from both of your parents to have the disease. Parents can each have one copy of the variant gene, but not have MLD. A person with one variant gene is called a carrier.
Children who inherit only one variant gene from one parent will be a carrier, but usually will not develop MLD. When two carriers have a child, there is a 1 in 4 chance that the child will get both genes and have MLD VSports最新版本.
There are three forms of MLD. The forms are based on when the symptoms begin: V体育平台登录.
- Late infantile MLD symptoms usually begin by ages 1 to 2.
- Juvenile MLD symptoms usually begin between ages 4 and 12.
- Adult (and late-stage juvenile MLD) symptoms may occur between age 14 and adulthood (over age 16), but may begin as late as the 40s or 50s.
"V体育ios版" Symptoms
Symptoms of MLD may include any of the following:
- Abnormally high or decreased muscle tone, or abnormal muscle movements, any of which may cause problems walking or frequent falls
- Behavior problems, personality changes, irritability
- Decreased mental function
- Difficulty swallowing
- Inability to perform normal tasks
- Incontinence
- Poor school performance
- "VSports手机版" Seizures
- Speech difficulties, slurring
Exams and Tests
Your health care provider will perform a physical exam, focusing on the nervous system symptoms.
Tests that may be done include:
- Blood or skin culture to look for low arylsulfatase A activity
- Blood test to look for low arylsulfatase A enzyme levels
- DNA testing for the ARSA gene
- MRI of the brain
- Nerve biopsy
- Nerve signaling studies
- Urinalysis (V体育安卓版)
VSports - Treatment
There is no cure for MLD V体育官网入口. Care focuses on treating the symptoms and preserving the person's quality of life with physical and occupational therapy.
Bone marrow transplant may be considered for infantile MLD.
Research is studying ways to replace the missing enzyme (arylsulfatase A).
Support Groups (VSports)
These groups can provide more information on MLD:
- National Organization for Rare Disorders --rarediseases.org/rare-diseases/metachromatic-leukodystrophy
- MedlinePlus - Metachromatic leukodystrophy -- medlineplus.gov/genetics/condition/metachromatic-leukodystrophy
- United Leukodystrophy Foundation -- ulf.org
Outlook (Prognosis)
MLD is a severe disease that gets worse over time VSports. Eventually, people lose all muscle and mental function. Life span varies, depending on what age the condition started, but the disease course usually runs 3 to 20 years or more.
People with this disorder are expected to have a shorter than normal lifespan VSports app下载. The earlier the age at diagnosis, the more quickly the disease progresses.
"VSports最新版本" Prevention
Genetic counseling is recommended if you have a family history of this disorder.
Alternative Names
MLD; Arylsulfatase A deficiency; Leukodystrophy - metachromatic; ARSA deficiency
"VSports最新版本" Images
References (VSports app下载)
Seaborg KA. Kwon JM. Neurodegenerative disorders of childhood. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 639.
Turnpenny PD, Ellard S, Cleaver R. Inborn errors of metabolism. In: Turnpenny PD, Ellard S, Cleaver R, eds. Emery's Elements of Medical Genetics and Genomics. 16th ed. Philadelphia, PA: Elsevier; 2022:chap 18.
"VSports手机版" Review Date 11/6/2024
Updated by: Anna C. Edens Hurst, MD, MS, Associate Professor in Medical Genetics, The University of Alabama at Birmingham, Birmingham, AL. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.