Cystinosis is a genetic metabolic
disease that causes an amino acid, cystine, to accumulate in various organs
of the body. Cystine crystals accumulate in the kidneys, eyes, liver, muscles,
pancreas, brain and white blood cells. Cystinosis also causes complications
in other organs of the body. The complications include muscle wasting,
difficulty swallowing, diabetes, and hypothyroidism. The incidence of Cytinosis
is estimated at one in every 192,000 births. Without specific treatment,
children with cystinosis develop end stage kidney failure at approximately
age nine.
There are three forms of Cystinosis. Infantile Nephropathic Cystinosis
is the most severe form of the disease. Children with Cystinosis appear
normal at birth, but by 10 months of age, they are clearly shorter that
others their age. They urinate frequently, have excessive thirst, and often
seem fussy. At 12 months, they haven't walked and bear weight only gingerly.
One of the major complications of Cystinosis is renal tubular Fanconi Syndrome,
or a failure of the kidneys to reabsorb nutrients and minerals. The minerals
are lost in the urine and the urinary losses must be replaced. Generally
those affected with Cytinosis are picky eaters, crave salt, and grow very
slowly. In
people with Intermediate Cystinosis or Juvenile Cystinosis, kidney and
eye symptoms typically become apparent during the teenage years or early
adulthood. In Benign or Adult Cystinosis, cystine accumulates primarily
in the cornea of the eyes.