ULTRASTRUCTURAL PATHOLOGY OF SKIN BIOPSY AND FIBROBLAST ENZYME STUDIES IN A CASE OF GM2-GANGLIOSIDOSIS WITH DEFICIENT HEXOSAMINIDASE A AND THERMOLABILE HEXOSAMINIDASE B

Abstract
A 2 year-old non-Jewish boy had muscle hypertonia, a black cherry spot, dementia, and seizures. His skin biopsy showed membranous cytoplasmic bodies in axonal terminals and zebra body-like inclusions in Schwann cells. Biochemically, a deficiency of Hex A and two separate Hex B peaks indicated a type 1 (B variant, Tay Sachs) like subvariant of GM2-gangliosidosis.