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tangier disease A rare autosomal recessive familial disorder of cholesterol metabolism, characterized by extremely low HDL-cholesterol, reduced total cholesterol, and increased triglyceride levels in serum. Clinical features include the onset before age 20 years of hepatomegaly; splenomegaly; the deposition of cholesterol in each tonsil (creating a yellow-orange appearance); and retinitis pigmentosa. A sensorimotor or distal sensory polyneuropathy occurs in approximately 50% of affected individuals. The condition is associated with decreased synthesis and increased catabolism of Apolipoprotein A-I and Apolipoprotein A-II, and a defect in cellular signaling and mobilization of lipids. (From Nat Genet 1998 Sep;20(1):96-8; Adams et al., Principles of Neurology, 6th ed, pp1347-8; Menkes, Textbook of Child Neurology, 5th ed, p118)


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(A-alphalipoprotein Neuropathy, Analphalipoproteinemia, Familial High-Density Lipoprotein Deficiency Disease, HDL Lipoprotein Deficiency Disease)



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