Disease Directory Wolman Disease
Metabolic

Wolman Disease

Also known as: LAL deficiency, lysosomal acid lipase deficiency, cholesterol ester storage disease, LIPA deficiency

Prevalence

1-9 per 1,000,000 (Orphanet)

Onset

Infantile

Type

Autosomal recessive genetic

Gene

LIPA

About Wolman Disease

Wolman disease is a severe infantile form of lysosomal acid lipase (LAL) deficiency caused by mutations in the LIPA gene. Without LAL enzyme activity, cholesterol esters and triglycerides accumulate in lysosomes throughout the body, particularly in the liver, spleen, adrenal glands, and intestines. Untreated, Wolman disease is fatal within the first year of life; sebelipase alfa (Kanuma), an enzyme replacement therapy, is approved for treatment.

Common Clinical Features

Hepatosplenomegaly Adrenal calcification Vomiting Diarrhea Failure to thrive Anemia Liver failure

Clinical Trial Eligibility Tips

What to know before applying to Wolman Disease trials.

Sebelipase alfa (Kanuma) is approved — trials may focus on dose optimization, long-term outcomes, or next-generation therapies

LAL enzyme activity below 0.02 nmol/punch/hour on dried blood spot is a standard diagnostic and eligibility criterion

Adrenal calcification confirmed by imaging is a key disease marker often required for trial documentation

Distinguish between infantile Wolman disease and milder cholesterol ester storage disease (CESD) — trials are often disease-form specific

Patient Resources

Patient Organization

National MPS Society

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Orphanet

European reference resource for rare diseases (ORPHA:75233)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

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Find recruiting Wolman Disease trials

Search 500,000+ studies from ClinicalTrials.gov, filtered for Wolman Disease. Updated daily.

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