Skip to main content
Log in

Farber's disease in two siblings, sural nerve and subcutaneous biopsies by light and electron microscopy

  • Original Works
  • Published:
Acta Neuropathologica Aims and scope Submit manuscript

Summary

Two siblings born from consanguineous tunisian parents are reported. They showed a severe form of Farber's disease with prominent involvement of the central and peripheral nervous system: low conduction velocity was noticed in both children. Macular cherry red spots were observed in one of them. The diagnosis for the girl investigated was confirmed by evidence of ceramidase deficiency in cultured fibroblasts. Here we report the pathological findings in the subcutaneous nodules using light and electron microscopy (one case), and in sural nerves using morphometric studies (both cases). Varying morphological aspects of intracellular inclusions, depending on the tissues involved, are described and discussed. A review of all cases reported since Farber's first paper in 1952 is given.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abul-Haj SK, Martz DG, Dounlas WF, Geppert LJ (1962) Farber's disease. Report of a case with observations on its histogenesis and notes on the nature of the stored material. J Pediatr 61:221–232

    Google Scholar 

  • Amirhakimi GH, Haghighi P, Ghalambor MA, Honari S (1976) Familial lipogranulomatosis (Farber's disease). Clin Genet 9:625–630

    Google Scholar 

  • Antonarakis S, Valle D, Moser HW, Moser A, Qualman SJ, Zinkham W (1984) Phenotypic variability in siblings with Farber disease. J Pediatr 104:406–409

    Google Scholar 

  • Azanza X (1969) Une nouvelle neurolipidose. La maladie de Farber. Thèse Médecine Bordeaux. Bergeret, Bordeaux, pp 1–76

  • Barriere H, Gillot F (1973) La lipogranulomatose de Farber. Nouv Presse Méd 2:767–770

    Google Scholar 

  • Battin J, Leger H, Vital C, Berner B (1969) Une neurolipidose rare avec lésions nodulaires sous cutanées et articulaires: la lipogranulomatose de Farber. XXII. Congrès de Pédiatres de langue française Tome IV. Strasbourg Expansion Scientifique Française éd., Paris pp 346–350

    Google Scholar 

  • Battin J, Vital C, Azanza X (1970) Une neurolipidose rare avec lésions nodulaires sous cutanées et articulaires la lipogranulomatose disséminée de Farber. Ann Dermatol Syphiligr 97:241–248

    Google Scholar 

  • Becker H, Auböck L, Haidvogl M, Berheimer H (1976) Dissiminierte Lipogranulomatose (Farber). Kasuistischer Bericht der 16. Falles einer Ceramidose. Verh Dtsch Ges Pathol 60:254–258

    Google Scholar 

  • Bierman SN, Edgington T, Newcomer VD, Pearson CM (1966) Farber's disease: a disorder of mucopolysaccharide metabolism with articular, respiratory and neurologic manifestations. Arthritis Rheum 9:620–630

    Google Scholar 

  • Bischoff A, Ulrich J (1969) Peripheral neuropathy in globoid cell leucodystrophy. Ultrastructural and histochemical findings. Brain 92:861–870

    Google Scholar 

  • Chen WW, Moser AB, Moser HW (1981) Role of lysosomal acid ceramidase in the metabolism of ceramide in human skin fibroblasts. Arch Biochem Biophys 208:444–455

    Google Scholar 

  • Clausen J, Rampini S (1970) Chemical studies of Farber's disease. Acta Neurol Scand 46:313–322

    Google Scholar 

  • Cogan DG, Kuwabara T, Moser H, Hazard GW (1966) Retionopathy in a case of Farber's lipogranulomatosis. Arch Ophthalmol 57:752–757

    Google Scholar 

  • Cogan DG, Kuwabara T (1968) The sphingolipidoses and the eye. Arch Ophthalmol 79:437–452

    Google Scholar 

  • Crocker AC, Cohen J, Faber S (1967) The liporgranulomatosis syndrom. Review with report of a patient showing milder involvement. In: Aronson SM, Volk BW (eds) Inborn disorders of sphingolipid metabolism. Pergamon Press New York, pp 485–503

    Google Scholar 

  • Dulaney JT, Moser HW (1977) Farber's disease (lipogranulomatosis). In: Glew RH, Peters SP (eds) Practical enzymology of the sphingolipidosis. AR Liss New York, pp 283–296

    Google Scholar 

  • Dulaney JT, Milunsky A, Sidbury JB, Holbolt HN, Moser HW (1976) Diagnosis of lipogranulomatosis (Farber's disease) by use of cultured fibroblasts. J Pediatr 89:59–61

    Google Scholar 

  • Dustin P, Tondeur M, Jonniaux G, Vamos-Hurwitz E, Pelc S (1973) La maladie de Farber. Etude anatomoclinique et ultrastructurale. Bull Acad R Med Belg 128:733–762

    Google Scholar 

  • Farber S (1952) A lipid metabolic disorder disseminated lipogranulomatosis. A syndrome with similarity to, and important differece from Niemann-Pick and Hand-Schuller-Christian disease. Am J Dis Child 84:499–500 [abstr]

    Google Scholar 

  • Farber S, Cohen J, Uzman LL (1957) Lipogranulomatosis. A new lipoglycoprotein storage disease. J Mt Sinaï Hosp 24:816–837

    Google Scholar 

  • Fensom AH, Neville BRG, Moser AE, Benson PF, Moser HW, Dulaney JT (1979) Prenatal diagnosis of Farber's disease. Lancet ii:990–992

    Google Scholar 

  • Ferrier G, Denef JF, Rodriguez J, Guzzetta F (1985) Morphometric studies of normal sural nerves in children. Muscle Nerve 8:697–704

    Google Scholar 

  • Gellis SS, Feingold M (1971) Picture of the month. Farber's disease (lipogranulomatosis) (Denouement and Discussion). Am J Dis Child 122:513–514

    Google Scholar 

  • Gutrecht JA, Dyck PJ (1970) Quantitative teased fiber and histologic studies of human sural nerve during post natal development. J Comp Neurol 138:117–130

    Google Scholar 

  • Hers HG (1973) The concept of inborn lysosomal disease. In: Hers HG, Van Hoof F (eds) Lysosomes and storage diseases. Academic Press, New York London, p 161

    Google Scholar 

  • Hers HG, Hoof F van (1969) Genetic abnormalities of lysosomes. In: Dingle JT, Fell HB (eds) Lysosomes in biology and pathology, vol 2. North Holland Amsterdam London, pp 19–40

    Google Scholar 

  • Hoof F van, Hers HG (1973) Other lysosomal storage disorders. In: Hers HG, Hoof F van (eds) Lysosomes and storage diseases. Academic Press, New York, pp 553–573

    Google Scholar 

  • Kudoh T, Wenger DA (1982) Diagnosis of metachromatic leukodystrophy, Krabbe disease and Farber disease after uptake of fatty acid-labeled cerebroside sulfate into cultured skin fibroblasts. J Clin Invest 70:89–97

    Google Scholar 

  • Lake BD (1984) Farber's disease. In: Adams JH, Corsellis JAN, Duchen LW (eds) Greenfield's neuropathology. Arnold London, pp 550–551

    Google Scholar 

  • Landrieu P, Saïd G (1984) Peripheral neuropathy in type A Niemann-Pick disease. A morphological study. Acta Neuropathol (Berl) 63:66–71

    Google Scholar 

  • Lyon G, Jardin L, Aicardi J (1971) Etude en microscopie électronique d'un nerf périphérique dans un cas de leucodystrophie de Krabbe. J Neurol Sci 12:263–274

    Google Scholar 

  • Molz G (1968) Farbersche Krankheit: pathologisch-anatomische Befunde. Virchows Arch [A] 344:86–90

    Google Scholar 

  • Moser HW, Chen WW (1983) Ceramidase deficiency: Farber's lipogranulomatosis. In: Stanbury JB, Wyngaarden JB, Frederickson DS, Goldstein JL, Brown MS (eds) The metabolic bases of inherited diseases, 5th edn. McGraw-Hill, New York, pp 820–830

    Google Scholar 

  • Moser HW, Prensky AL, Wolfe HJ, Rosamn NP, Carr SH, Ferreira GR (1969) Farber's lipogranulomatosis. Report of a case and demonstration of an excess free ceramide and ganglioside. Am J Med 47:869–890

    Google Scholar 

  • Ozaki H, Mizutani M, Hayashi H, Oka E, Ohtahara S, Kimoto H, Tanaka T, Hakozaki H, Takahashi K, Suzuki Y (1978) Farber's disease (disseminated lipogranulomatosis). The first case reported in Japan. Acta Med Okayama 32:69–79

    Google Scholar 

  • Pachman LM, Frank J, Liu M, Moser HW (1978) Lipogranulomatosis (Farber's disease). J Pediatr 93:320

    Google Scholar 

  • Pavone L, Moser HW, Mollica F, Reitano C, Durand P (1980) Farber's lipogranulomatosis. Ceramidase deficiency and prolonged survival in three relatives. John Hopkins Med J 147:193–196

    Google Scholar 

  • Philippart M, Nakatani S, Zeilstra K, Tondeur M, Vamos-Hurwitz E, Pelc S (1975) Farber's disease: ceramide accumulation in cultured fibroblasts. Trans Am Soc Neurochem 6:152

    Google Scholar 

  • Prensky AL, Ferreira G, Carr S, Moser HW (1967) Ceramide and ganglioside accumulation in Farber's lipogranulomatosis. Proc Soc Exp Biol Med 126:725–728

    Google Scholar 

  • Qualman SJ, Moser HW, Valle D, Antonarakis SE, Zinkham WH (1984) Farber's disease (lipogranulomatosis): new clinicopathologic features in two case including an associated nephropathy. J Pediatr 104:406–409

    Google Scholar 

  • Rampini S, Clausen J (1967) Farbersche Krankheit (disseminierte Lipogranulomatose). Helv Paediatr Acta 22: 500–515

    Google Scholar 

  • Resibois A, Tondeur M, Mocker S, Dustin P (1970) Lysosomes and storage diseases. Int Rev Exp Pathol 9:93–149

    Google Scholar 

  • Rivel J, Vital C, Battin J, Heheunstre JP, Leger H (1977) La lipogranulomatose disséminée de Farber études anatomoclinique et ultrastructurale de deux observations familiales. Arch Anat Cytol Pathol 25:37–42

    Google Scholar 

  • Rutsaert J, Tondeur M, Vamos-Hurwitz, Dustin P (1977) The cellular lesions of Farber's disease and their experimental reproduction in tissue culture. Lab Invest 36:474–480

    Google Scholar 

  • Samuelsson K, Zetterström R (1971) Ceramides in a patient with lipogranulomatosis (Farber's disease) with chronic course. Scand J Clin Lab Invest 27:393–405

    Google Scholar 

  • Samuelsson K, Zetterström R, Ivemark B (1972) Studies on a case of lipogranulomatosis (Farber's disease) with protracted course. In: Volk BW, Aronson SM (eds) Sphingolipids, sphingolipidoses and allied disorders. Plenum Press, New York London, pp 533–548

    Google Scholar 

  • Schanche AF, Bierman SM, Sopher L, O'Loughlin BJ (1964) Disseminated lipogranulomatosis: early roentgenographic changes. Radiology 82:675–678

    Google Scholar 

  • Schmoeckel C, Hohlfed M (1979) A specific ultastructural marker for disseminated lipogranulomatosis (Farber). Arch Dermatol Res 266:187–196

    Google Scholar 

  • Schonenberg H, Lindenfelser R (1974) Farber Syndrom (Disseminierte Lipogranulomatose). Monatschr Kinderheilkd 122:153–159

    Google Scholar 

  • Schultze G, Lang EK (1960) Disseminated lipogranulomatosis: report of a case. Radiology 74:428–431

    Google Scholar 

  • Sugita M, Dulaney JT, Moser HW (1972) Ceramidase deficiency in Farber's disease (Lipogranulomatosis). Science 178: 1100–1102

    Google Scholar 

  • Sugita M, Connolly P, Dulaney JT, Moser HW (1973) Fatty acid composition of free ceramides of kidney and cerebellum from a patient with Farber's disease. Lipids 8:401–406

    Google Scholar 

  • Tanaka T, Takahashi K, Hakozaki H, Kimoto H, Suzuki Y (1979) Farber's disease (disseminated lipogranulomatosis) A pathological histochemical and ultrastructural study. Acta Pathol Jpn 29:135–155

    Google Scholar 

  • Toppet M, Vamos-Hurwitz E, Jonniaux G, Cremer N, Tondeur M, Pelc S (1978) Farber's disease as a ceramidosis: clinical, radiological and biochemical aspects. Acta Paediatr Scand 67:113–119

    Google Scholar 

  • Vital C, Rivel J, Battin J, Heheunstre JP (1976) Une neurolipidose rare, la maladie de Farber. Etude ultrastructurale d'une biopsie de nerf périphérique. Rev Neurol 132:419–423

    Google Scholar 

  • Vital C, Vallat JM, Bioulac P, Coquet M, Rivel J (1980) Apports de l'étude ultrastructurale dans le diagnostic de certaines neurolipidoses. Soc Biol (Paris) 174:423–436

    Google Scholar 

  • Yunis EJ, Lee RE (1969) The ultrastructure of globoid (Krabbe) leucodystrophy. Lab Invest 21:415–419

    Google Scholar 

  • Zarbin MA, Green WR, Moser HW, Morton SJ (1985) Farber's disease. Light and electron microscopic study of the eye. Arch Opthalmol 103:73–80

    Google Scholar 

  • Zeman W, Donahue S (1963) Fine structure of the lipid bodies in juventile amaurotic idiocy. Acta Neuropathol (Berl) 3:144–149

    Google Scholar 

  • Zetterström R (1958) Disseminated lipogranulomatosis (Farber's disease). Acta Paediatr (Uppsala) 47:501–510

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pellissier, J.F., Berard-Badier, M. & Pinsard, N. Farber's disease in two siblings, sural nerve and subcutaneous biopsies by light and electron microscopy. Acta Neuropathol 72, 178–188 (1986). https://doi.org/10.1007/BF00685981

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00685981

Key words

Navigation