| Disease Symptoms/Characteristics | Wolman Disease | Cholesteryl Ester Storage Disease |
|---|---|---|
| Lipid Profile | Elevated LDL-cholesterol, triglycerides. Reduced levels of HDL | Elevated LDL-cholesterol, triglycerides, serum total cholesterol [16] Reduced levels of HDL |
| Liver Function | Elevated ALT + AST | Elevated ALT + AST |
| Hepatic Pathology | Yellow and greasy. Infiltration by lipid-filled Kupffer cells [30]. Fibrosis. | Microvesicular steatosis of the hepatocytes. Cirrhosis. Infiltration by lipid-filled Kupffer cells and macrophages [36] |
| Splenic Pathology | Enlarged spleen [27] | Enlarged spleen [11] |
| Adrenal Pathology | Calcification of the adrenal glands [25] | Very rare calcification of the adrenal glands [16] |
| Intestinal Pathology | Massive CE and TG accumulation in the small intestine. Infiltration of the lamina propria by foamy macrophages [34] | CE accumulation, but to a much lesser degree than WD [16] |
| Biochemical Features | No functioning levels of LAL [34] | 1-12% of functioning LAL relative to healthy patients [11] |
| Age of Onset | First few months of birth [34] | Childhood to Adulthood [16] |
| Life Expectancy | <1 year [34] | Patients live into adulthood [16] |
| Causes of Death | Malnutrition, malabsorption, liver failure [34] | Liver failure [16] |