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GLYCOGEN STORAGE DISEASE TYPE II. INFANTILE ONSET. POMPE DISEASE

GLYCOGEN STORAGE DISEASE TYPE II. INFANTILE ONSET. POMPE DISEASE
GSD2; GLYCOGEN STORAGE DISEASE II
232300
OMIM = Online Mendelian Inheritance of Men
308552
Lysosomal alpha-glucosidase
3.2.1.3
17q25.3
E74.0
rare (1:100000 )
autosomal recessive
mutation in the GAA gene
1) infantile onset: cardiomegaly, progressive weakness, macroglossia
2) juvenile onset: (cardiac involvement), slower progression 3) adult onset: slowly progressive myopathy
Laboratory findings    alpha-1,4-Glucosidase ()
    alpha-Glucosidase dec (muscle)
    alpha-Glucosidase dec (fibroblasts)
    Aspartate aminotransferase (ASAT, SGOT) inc (plasma)
    cardiac Troponin T (cTnT) normal/inc (plasma)
    Creatine kinase inc (plasma)
    Glycogen inc (tissue)
    Lymphocytes, vacuoles (blood)
    Oligosaccharides inc (urine)
    Transaminases (ASAT/ALAT) inc (serum)
Symptoms    cardiomegaly
    cardiomyopathy
    cardiomyopathy, hypertrophic
    early death
    ECG abnormalities [-]
    feeding difficulties, poor feeding
    hearing defect, deafness
    heart failure, cardiac failure
    hepatomegaly (large liver)
    hydrops fetalis
    hypotonia
    infections (severe or recurrent)
    macroglossia, large/protuding tongue
    muscle weakness
    myopathy
    onset, childhood
    onset, infancy
    onset, neonatal
    progressive muscle defect
    respiratory insufficiency