Inherited deficiency of lysosomal hydrolase often displays different clinic
al features. However, a greatly reduced enzyme activity may be observed in
healthy individuals. This pseudo-deficiency concernes at least nine lysosom
al hydrolases.
When a deficiency has been proved, the presence of mutations known to cause
pseudodeficiencies must be searched, above all in Tay-Sachs disease and me
tachromatic leukodystrophy.