Main clinical features
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lysosomal storage disease caused by defective alpha-L-fucosidase with accumulation of fucose in the tissues with neurologic deterioration, growth retardation, visceromegaly, and seizures in the severe early form, coarse facial features, angiokeratoma corporis diffusum, spasticity and delayed psychomotor development in the longer surviving form
psychomotor retardation, gargoyle features, and angiokeratoma with abnormalities in macrophages, endothelial cells, fibroblasts, and Schwann cells on rectal
difficulty in degrading fucose-containing blood group H and Lewis substances |