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GLYCOGEN STORAGE DISEASE TYPE IB

GLYCOGEN STORAGE DISEASE TYPE IB
GSD1b; GLYCOGEN STORAGE DISEASE I non A; GSD1 non a
232220
OMIM = Online Mendelian Inheritance of Men
364
Glucose-6-phosphate exchanger SLC37A4
11q23.3
E74.0
rare (1:200.000)
autosomal recessive
mutation in the G6PT1 gene
one patient known to the authors (unpublished), resistance to infections improved by gamma-globuline treatment
Laboratory findings   Cholesterol inc (serum)
   D-Glucose normal/dec (serum)
   Ketone bodies (urine) decreased (plasma)
   L-Lactic acid inc (plasma)
   Triglycerides inc (serum)
   Uric acid inc (serum)
    bleeding time dec (blood)
    Transaminases (ASAT/ALAT) normal/inc (serum)
Symptoms   bleeding tendencies, hemorrhages
   hepatomegaly (large liver)
   hypoglycemia
   infections (severe or recurrent)
   liver carcinoma
   neutropenia (decreased neutrophils)
   obesity
   osteopenia
   pancreatitis
   short stature
   tachypnea, hyperpnea, dyspnea, hyperventilation
    cirrhosis or fibrosis of liver
    early death
    glomerulosclerosis
    gout
    hepatoma
    hypotonia
    infections (local, abscesses)
    ketosis, ketoacidosis
    lactic acidosis
    nose bleed
    onset, childhood
    onset, infancy
    onset, neonatal
    oral ulcers
    osteoporosis
    seizures
    thrombopenia, thrombocytopenia
    xanthoma