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The Parents of 6-Month-Old Are Alarmed at the Apparent Regression

Question 17

Multiple Choice

The parents of 6-month-old are alarmed at the apparent regression of their child's pyschomotor skills. The infant has had difficulty in feeding accompanied by recurrent vomiting. Examination reveals a protuberant abdomen with clear hepatosplenomegaly. Extremities are thin and emaciation is apparent. Opthalmologic examination reveals cherry-red maculae. Histochemical examination of the monocytic fraction of the plasma demonstrates the presence of lipid-laden foam cells engorged with sphingomyelin. These findings are indicative of which of the following disorders?


A) fucosidosis
B) Gaucher disease
C) GM2 activator deficiency
D) Niemann-Pick disease type A1
E) Tay-Sachs disease

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