Late-onset Tay-Sachs disease


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Late-onset Tay-Sachs disease


Late-onset Tay-Sachs (LOTS) is a rare genetic disease in which fatty compounds, called gangliosides, do not break down normally because the body produces too little of the enzyme hexosaminidase A (or hex A). Gradually, gangliosides accumulate and damage brain and nerve cells, which affects a person's mental functioning.

This condition is a recently discovered form of Tay-Sachs disease and occurs most often in people of Ashkenazi Jewish descent. People of French-Canadian or Cajun descent are also at a higher risk than the general population.

Symptoms of LOTS vary but usually include clumsiness or mood changes that begin between adolescence and the mid-30s. At first, symptoms are subtle and may go unnoticed. Other symptoms that may develop include:

  • Personality changes.
  • Muscle weakness or twitching.
  • Slurred speech.
  • Impaired thinking and reasoning ability, such as memory problems, difficulty with comprehension, and short attention span.
  • Inability to distinguish between what is real and unreal (psychotic episodes) or depression.

Treatment for late-onset Tay-Sachs disease focuses on controlling symptoms. There is no cure. The life expectancy for a person with LOTS is unknown. Depending on the severity of the symptoms, the person may live as long as someone who does not have the disease.

Credits


Author Jeannette Curtis
Author Caroline Rea, RN, BS, MS
Editor Kathleen M. Ariss, MS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Patrice Burgess, MD - Family Medicine
Primary Medical Reviewer Adam Husney, MD - Family Medicine
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Last Updated May 25, 2007

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Last updated: May 25, 2007
Author: Caroline Rea, RN, BS, MS
Reviewed By: Kathleen Romito, MD - Family Medicine
Editors: Susan Van Houten, RN, BSN, MBA, Pat Truman, MATC

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