Cystinosis

Overview

What is cystinosis?

Cystinosis is a rare, genetic disease caused by a buildup of the amino acid cystine in the body. This buildup causes crystals to form in cells and slowly causes organ damage. It can affect many parts of the body, including the eyes, muscles, brain, heart, thyroid and pancreas. Cystinosis can also cause severe kidney problems. The age of onset, symptoms and severity vary by individual.

Generally, cystinosis is broken down into three different forms known as infantile (nephropathic) cystinosis, juvenile cystinosis and adult (non-nephropathic, or ocular) cystinosis. Infantile cystinosis appears in infancy, usually between 6 and 18 months. It is the most common and severe form of cystinosis, affecting about 95% of patients, many who develop kidney problems. Infants with nephropathic cystinosis can develop Fanconi syndrome, a disorder that prevents the kidneys from absorbing nutrients such as sodium and potassium, resulting in the loss of these nutrients through urine. Without proper treatment, patients are at risk for worsening kidney disease, and even kidney failure.

How common is cystinosis?

Cystinosis affects 500 to 600 people in the United States, with an estimated 20 new cases diagnosed each year. The disease impacts an estimated 2,000 worldwide.


Questions regarding your cystinosis therapy?

You can reach the Accredo Cystinosis care team, anytime, day or night, seven days a week.

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Call 844-404-7848

1, 2, 3, 4, 5

  • 1<a href="https://www.cystinosisunited.com/adults/understanding-cystinosis" target="_blank">https://www.cystinosisunited.com/adults/understanding-cystinosis </a>
  • 2<a href="https://rarediseases.org/rare-diseases/cystinosis/" target="_blank">rarediseases.org/rare-diseases/cystinosis/ </a>
  • 3<a href="https://my.clevelandclinic.org/health/diseases/24657-cystinosis" target="_blank">my.clevelandclinic.org/health/diseases/24657-cystinosis </a>
  • 4<a href="https://www.kidney.org/atoz/content/nephropathic-cystinosis" target="_blank">www.kidney.org/atoz/content/nephropathic-cystinosis </a>
  • 5Elmonem MA, Veys KR, Soliman NA, van Dyck M, van den Heuvel LP, Levtchenko E. Cystinosis: a review. Orphanet Journal of Rare Diseases 2016; 11:47. https://doi.org/10.1186/s13023-016-0426-y

Symptoms

What are the symptoms of cystinosis?

Infantile (nephropathic) cystinosis symptoms generally appear between the ages of 6 and 18 months and may include:

  • Excessive thirst (polydipsia)
  • Excessive urination (polyuria)
  • Electrolyte imbalances
  • Vomiting
  • Dehydration
  • Fever
  • Rickets
  • Growth delay/failure to thrive
  • Scarred or cloudy corneas
  • Light sensitivity (photophobia)
  • Vision loss
  • Difficulty swallowing (dysphagia)

Juvenile cystinosis symptoms are similar to infantile cystinosis. They appear later in childhood or during adolescence and tend to be less severe. Other common symptoms of late-onset cystinosis may include:

  • Fatigue
  • Muscle weakness
  • Myopathy
  • Short stature
  • Delayed puberty
  • Infertility

Adult (non-nephropathic) cystinosis typically only affects the eyes and does not have the associated kidney or other organ involvement. The most common symptom of cystine accumulation in the eye is photophobia, although other symptoms such as foreign body sensation, visual impairment, and uncontrollable eyelid movements (blepharospasm) are possible.

How is it diagnosed?

A diagnosis of cystinosis is based on several methods including a physical examination, a detailed patient history, and a variety of specialized tests.

  • A blood test can measure cystine levels in your white blood cells.
  • Genetic testing can identify genetic mutations in the CTNS gene.
  • A urinalysis can detect excess loss of minerals, nutrients, electrolytes and amino acids.
  • An eye exam can reveal cystine crystals in the cornea. An ophthalmologist uses a special microscope called a slit lamp to examine the eyes at high magnification.

A prompt diagnosis of cystinosis is important to maximize the benefits of cysteine-depleting medications.

1, 2, 3, 4, 5

  • 1<a href="https://www.cystinosisunited.com/what-is-cystinosis" target="_blank">www.cystinosisunited.com/what-is-cystinosis </a>
  • 2<a href="https://rarediseases.org/rare-diseases/cystinosis/" target="_blank">rarediseases.org/rare-diseases/cystinosis/ </a>
  • 3<a href="https://my.clevelandclinic.org/health/diseases/24657-cystinosis" target="_blank">my.clevelandclinic.org/health/diseases/24657-cystinosis </a>
  • 4<a href="https://www.kidney.org/atoz/content/nephropathic-cystinosis" target="_blank">www.kidney.org/atoz/content/nephropathic-cystinosis </a>
  • 5Elmonem MA, Veys KR, Soliman NA, van Dyck M, van den Heuvel LP, Levtchenko E. Cystinosis: a review. Orphanet Journal of Rare Diseases 2016; 11:47. https://doi.org/10.1186/s13023-016-0426-y

Medications

The following specialty medications are available at Accredo, a specialty pharmacy for Cystinosis.

Medication Manufacturer
Procysbi™ (cysteamine bitartrate) Horizon Pharma, Inc.

Financing Your Care

Financial resources are available to support your drug costs, including manufacturer and community programs. Accredo specialists are available to help you find the right program for you.


Financial Guidance

Find Support

There are many organizations that support research and advocacy for Cystinosis. See below for a few of those organizations.

Support Organizations

Meet The Team

Accredo’s rare disease care team is dedicated to serving you, and we understand the complexity of your condition. Our specialty-trained clinicians are available 24 hours a day, seven days a week, to answer any questions.

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24-hour Customer Service Center

Call 844-404-7848