Case Report: A rare case of fucosidosis caused by a novel homozygous pathogenic variant in the FUCA1 gene within a 17.2 Mb region of homozygosity - Takeaways - MDSpire

Case Report: A rare case of fucosidosis caused by a novel homozygous pathogenic variant in the FUCA1 gene within a 17.2 Mb region of homozygosity

  • By

  • Hua Wang

  • Weirong Xing

  • June 30, 2026

  • 0 min

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  • 1

    Fucosidosis is a rare lysosomal storage disorder caused by mutations in the FUCA1 gene, leading to deficient α-L-fucosidase activity.

  • 2

    The clinical spectrum of fucosidosis includes neurological regression, coarse facial features, and systemic involvement, but varies widely among patients.

  • 3

    A novel homozygous nonsense mutation, c.557 T > A (p.Leu186*), was identified in a patient, expanding the known mutation spectrum of FUCA1.

  • 4

    The patient presented with progressive neurological symptoms and atypical skin lesions, but lacked hepatosplenomegaly or cardiac involvement.

  • 5

    Early genetic diagnosis is crucial for timely interventions, such as hematopoietic stem cell transplantation, in managing fucosidosis.

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