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    <!-- http://purl.obolibrary.org/obo/MONDO_0019046 -->

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        <rdfs:label>leukodystrophy</rdfs:label>
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    <!-- http://purl.obolibrary.org/obo/MONDO_0800448 -->

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        <rdfs:label>leukoencephalopathy with vanishing white matter</rdfs:label>
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        <ns3:IAO_0000233 rdf:datatype="http://www.w3.org/2001/XMLSchema#anyURI">https://github.com/monarch-initiative/mondo/issues/6216</ns3:IAO_0000233>
        <oboInOwl:hasDbXref>UMLS:C1858991</oboInOwl:hasDbXref>
        <oboInOwl:hasRelatedSynonym>CACH/VWM syndrome</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasRelatedSynonym>CACH syndrome</oboInOwl:hasRelatedSynonym>
        <oboInOwl:id>MONDO:0800448</oboInOwl:id>
        <oboInOwl:hasNarrowSynonym>Cree leukoencephalopathy</oboInOwl:hasNarrowSynonym>
        <oboInOwl:hasExactSynonym>myelinosis centralis diffusa</oboInOwl:hasExactSynonym>
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        <oboInOwl:hasDbXref>DOID:0060868</oboInOwl:hasDbXref>
        <ns3:IAO_0000115>A new leukoencephalopathy, the CACH syndrome (Childhood Ataxia with Central nervous system Hypomyelination) or VWM (Vanishing White Matter) was identified on clinical and MRI criteria. Classically, this disease is characterized by (1) an onset between 2 and 5 years of age, with a cerebello-spastic syndrome exacerbated by episodes of fever or head trauma leading to death after 5 to 10 years of disease evolution, (2) a diffuse involvement of the white matter on cerebral MRI with a CSF-like signal intensity (cavitation), (3) a recessive autosomal mode of inheritance, (4) neuropathologic findings consistent with a cavitating orthochromatic leukodystrophy with increased number of oligodendrocytes with sometimes &quot;foamy&#39;&#39; aspect.</ns3:IAO_0000115>
        <oboInOwl:hasRelatedSynonym>vanishing white matter leukodystrophy</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasDbXref>SCTID:447351004</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>GARD:0000231</oboInOwl:hasDbXref>
        <oboInOwl:hasRelatedSynonym>vanishing White matter leukodystrophy with ovarian failure</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasRelatedSynonym>vanishing White matter leukodystrophy</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasRelatedSynonym>childhood ataxia with central nervous system hypomyelination/vanishing white matter</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasExactSynonym>childhood ataxia with diffuse central nervous system hypomyelination</oboInOwl:hasExactSynonym>
        <oboInOwl:hasExactSynonym>leukoencephalopathy with vanishing white matter</oboInOwl:hasExactSynonym>
        <oboInOwl:hasRelatedSynonym>VWM</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasDbXref>NCIT:C122664</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>Orphanet:135</oboInOwl:hasDbXref>
        <oboInOwl:hasRelatedSynonym>vanishing white matter disease</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasDbXref>OMIMPS:603896</oboInOwl:hasDbXref>
        <oboInOwl:hasRelatedSynonym>childhood ataxia with central nervous system hypomyelinization</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasDbXref>MEDGEN:347037</oboInOwl:hasDbXref>
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