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CONGENITAL DISORDER OF GLYCOSYLATION CDG-Ia (PMM2-CDG)

CONGENITAL DISORDER OF GLYCOSYLATION CDG-Ia (PMM2-CDG)
CDG1A; PMM2-CDG; JAEKEN SYNDROME
212065
OMIM = Online Mendelian Inheritance of Men
79318
phosphomannomutase 2
5.4.2.8
16p13.2
E77.8
rare (>300 patients)
autosomal recessive
mutations in PMM2; two subtypes: a neurological form with psychomotor retardation, strabismus, cerebellar hypoplasia, and retinitis pigmentosa, and a multivisceral form with neurological and extraneurological manifestations including liver, cardiac, renal, or gastrointestinal involvement [de Lonlay P et al. 2001]
Laboratory findings   Albumin inc (serum)
   Antithrombin III (AT III) dec (plasma)
   Asialotransferrin inc (serum)
   Cholesterol dec (serum)
   Disialotransferrin inc (serum)
   IEF of serum transferrin, type 1 pattern (serum)
   Tetrasialotransferrin dec (serum)
   Tetrasialotransferrin dec (serum)
   Thyroxine binding globuline (TBG) normal/dec (serum)
   Transaminases (ASAT/ALAT) inc (serum)
    alpha1-Antitrypsine dec (serum)
    Carbohydrate-deficient transferrins inc (serum)
    D-Glucose normal/inc (serum)
    Haptoglobin dec (serum)
    Phosphomannomutase dec (fibroblasts)
    Transferrin normal/dec (serum)
Symptoms  cerebellar atrophy or hypoplasia
   anorexia
   ataxia
   behavior, anxiety
   behavior, autism or autistic-like
   cardiomyopathy
   contractures, joints
   demyelinisation
   dysmorphism
   dystonia
   epilepsy
   hypotonia
   inverted nipples
   liver involvement or dysfunction
   osteopenia
   psychomotor retardation
   retinitis pigmentosa
   retinopathy
   strabismus
   vomiting
    ascites
    cataract
    cirrhosis or fibrosis of liver
    clinodactyly
    Coagulopathy/Coagulation factors
    diarrhea
    dysostosis multiplex
    early death
    enteropathy, protein-loosing
    failure to thrive
    feeding difficulties, poor feeding
    growth retardation, poor growth
    heart involvement
    hepatomegaly (large liver)
    hydrops fetalis
    hyperinsulinism
    hypoglycemia
    hyporeflexia
    hypothyroidism
    intracranial hemorrhage, hematoma
    limb abnormalities, limb deformities
    lipodystrophia
    mental retardation
    motor retardation
    MRI, brain, abnormalities [-]
    nephromegaly
    nephrosis
    nephrotic syndrome
    nystagmus
    onset, childhood
    onset, infancy
    pericardial effusion
    peripheral neuropathy
    proteinuria
    renal cysts
    renal enlargement
    seizures
    skeletal changes, skeletal abnormalities
    strokelike episodes
    trichorrhexis nodosa