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Abstract
An 8-year-old girl developed a progressive neurological disease, characterized by
minor seizures, gradual loss of vision leading to complete blindness, and ultimate
dementia. She died at 16 years of age. At post-mortem virtually all neurons contained
insoluble, autofluorescent, SBB-positive deposits. Similar deposits were present in
many viscera. They were particularly abundant in skeletal muscle. By electron microscopy
they appeared as granular osmiophilic deposits (GROD). The epithelial cells of the
renal glomeruli contained lamellar inclusions in addition to the GROD. GROD and lipofuscin
share many histochemical and ultrastructural features, but minor differences suggest
that their chemical composition may differ. Chemical analysis of tissue from the patient
failed to identify the nature of the GROD, principally because of their insolubility.
This patient clinically conforms to the syndrome of juvenile cerebromacular degeneration.
In these patients histochemical and ultrastructural examination of skin and skeletal
muscle seems to be the most convenient method of making a precise pathological diagnosis
at present.
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Article info
Publication history
Received:
August 1,
1972
Identification
Copyright
© 1973 Published by Elsevier Inc.