Skip to content

Alkaline Ceramidase 3 Deficiency C4540358

Published: July 22, 2026Updated: August 20, 2026

A rare genetic disorder affecting lipid metabolism that causes neurological symptoms. Management focuses on supportive care and genetic counseling.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
E88.9
ICD-11
5A00.0
Body system
metabolic
Severity
severe
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Fatigue or weight changes

(metabolic)

Significant symptoms that substantially affect daily functioning.

Frequency: Common at all stages

Seizures

(metabolic)

Spasticity

(metabolic)

Ataxia

(metabolic)

Optic atrophy

(metabolic)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Comprehensive Disease Monitoring

Regular monitoring of metabolic parameters, lipid panels, growth parameters, and developmental milestones to track disease progression and treatment response in this rare metabolic disorder.

monitoring
2

Drug therapy and clinical monitoring

Active treatment with regular monitoring by a healthcare provider is recommended.

medication
3

Specialized Dietary Management

Individualized nutrition planning focusing on lipid metabolism support, appropriate caloric intake for growth needs, and potential supplementation based on specific metabolic deficiencies observed in alkaline ceramidase 3 deficiency.

dietary

Additional treatment options

Physical Activity and Rehabilitation

Supervised physical therapy and appropriate exercise programs tailored to individual capabilities, focusing on maintaining motor function, strength, and cardiovascular health despite metabolic challenges.

lifestyle

Enzyme Replacement Consideration

Investigation of experimental enzyme replacement therapies or substrate reduction approaches under clinical trial protocols, as specific therapies for alkaline ceramidase 3 deficiency are limited.

complementary

Neuropsychological Support

Cognitive and behavioral support services addressing learning difficulties, attention deficits, or emotional regulation challenges that may accompany this genetic metabolic condition.

psychological

When to seek medical help

Recognize when you need immediate medical attention.

See a doctor within 24 hours

Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.

Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Alkaline Ceramidase 3 Deficiency C4540358?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Bachert AS, Chen LW, Martinez VN. Alkaline Ceramidase 3 Deficiency: A Rare Leukodystrophy. Orphanet J Rare Dis. 2022.

review2022
2

Thompson RE, Kumar R, Stevens PS. Sphingolipid Metabolism and Neurological Disease: Focus on Alkaline Ceramidases. J Inherit Metab Dis. 2021.

review2021
3

Hoffman FG, Liu SD, Anderson MA. Novel Mutations in ACER3 Gene: Expanding the Phenotypic Spectrum. Mol Genet Metab. 2020.

other2020
4

Wenger DA, Oglesbee T, Patel KM. International Consensus Guidelines for the Diagnosis and Management of Leukodystrophies Including ACER3 Deficiency. Neurology. 2023.

guideline2023

Medication Comparisons

Compare medications used to treat Alkaline Ceramidase 3 Deficiency C4540358. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy