go back

GLYCEROL KINASE DEFICIENCY

GLYCEROL KINASE DEFICIENCY
GKD; HYPERGLYCEROLEMIA, GLYCEROLURIA; GLYCEROL KINASE DEFICIENCY
307030
OMIM = Online Mendelian Inheritance of Men
408
glycerol kinase
2.7.1.30
Xp21.2
E74.8
rare (>50 cases)
X-linked recessive
mutation in the GK gene
clinically distinct 3 forms:
1) complex glycerol kinase deficiency, Xp21 contiguous gene syndrome
2) infantile form - development delay
2) juvenile form - symptomatic
3) benign or (asymptomatic) adult form
‘pseudohypertriglyceridaemia’ is frequently misdiagnosed as hypertriglyceridaemia in Isolated glycerol kinase deficiency (GKD),
Laboratory findingsGlycerol inc (serum)
   Glycerol inc (urine)
    Creatine kinase normal/inc (serum)
    D-Glucose dec (serum)
    Ketone bodies (urine) normal/inc (urine)
    pH normal/dec (blood)
    Pseudohypertriglyceridemia (serum)
    Sodium normal/inc (serum)
    Triglycerides inc (serum)
Symptomshypoglycemia
  defect of adrenal gland or function
   adrenal insufficiency
   dysmorphism
   growth retardation, poor growth
   ketosis, ketoacidosis
   metabolic acidosis
   no clinical symptoms (probably)
   obstructive airway disease
   short stature
   strabismus
    cholestasis
    coma
    cryptorchism
    EEG abnormalities [-]
    failure to thrive
    fever
    hyperpigmentation
    hypothermia
    intellectual disability/intellectual developmental disorder
    lethargy, drowsiness, apathy
    liver involvement or dysfunction
    muscle weakness
    myopathy
    onset, adolescent
    onset, childhood
    onset, infancy
    onset, neonatal
    Organic acids, urine
    osteoporosis
    seizures
    vomiting