Krabbe disease: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Krabbe disease: management. Newborn screening, Plasma GALC enzyme activity: this is reduced. Fully referenced neurology checklist.

Investigations

  • Newborn screening
  • Plasma GALC enzyme activity: this is reduced
  • GALC mutational analysis: this is positive
  • Psychosine level: this is elevated
  • Nerve conduction studies (NCS): this may be abnormal
  • Cerebrospinal fluid (CSF) analysis: this is usually normal

Treatment

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References

  1. Kwon JM, Matern D, Kurtzberg J, et al. J Consensus guidelines for newborn screening, diagnosis and treatment of infantile Krabbe disease. Orphanet J Rare Dis 2018; 13:30. 
  2. Gelinas J, Liao P, Lehman A, Stockler S, Sirrs S. Krabbe disease: a potentially treatable white matter disorder. Neurology 2012; 79:e170-e172.
  3. Kapoor R, MCDonald WI, Crockard A, Moseley IF. Clinical onset and MRI features of Krabbe's disease in adolescence. JNNP 1992; 55:331-332.

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