Presentation
We present a case of a pregnant patient with both Brugada syndrome and myoadenylate deaminase deficiency, in which analgesic and general anaesthetic options for each condition presented potentially conflicting dilemmas for the delivery of intrapartum [ncbi.nlm.nih.gov]
Its main feature is an even stronger emphasis on the clinical presentation of inborn errors of metabolism. [books.google.com]
The typical age of presentation is late adolescence to early adulthood. Affected individuals have generalized exertional muscle pain, cramps and fatigue. Other presenting features include post-exertional myoglobinuria and rhabdomyolysis. [egl-eurofins.com]
Acronym AMPDDE Synonyms AMP deaminase deficiency erythrocyte type Erythrocyte AMP deaminase deficiency Disclaimer Any medical or genetic information present in this entry is provided for research, educational and informational purposes only. [uniprot.org]
Although a small percentage of mAMPD-deficient individuals present with exercise-induced cramping and pain, most are asymptomatic. [medlink.com]
Musculoskeletal
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Painful Muscle Cramps
Adenosine monophosphate deaminase deficiency type 1 (AMDP1) is a genetic disorder fatigue, muscle pain, muscle cramping and delayed recover from exercise. Supplementation with ribose and creatine monohydrate are thought to be helpful. References [me-pedia.org]
Workup
However, a key diagnostic feature is the absence of a rise in serum venous lactate during the Forearm ischemic exercise test in Workup. Also, the cramp, when recorded by needle EMG, is silent (contracture). [emedicine.medscape.com]
Treatment
As in the first edition, treatment is discussed extensively. Details are given for dietary treatment and drug administrations in acute situations, during infections and in maintenance treatment. [books.google.com]
L-Carnitine treatment led to gradual improvement in exercise tolerance and cognitive performance; plasma and tissue carnitine levels returned to normal, and echocardiographic evidence of left ventricular hypertrophy disappeared. [ncbi.nlm.nih.gov]
[…] in metabolic diseases; development of animal models of metabolic diseases, both to improve understanding of the diseases and to test possible treatments; development of enzyme replacement therapies; and development of gene therapies. [mda.org]
CLOSE Medical Disclaimer The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. [diseaseinfosearch.org]
Symptoms of Adenosine monophosphate deaminase 1 deficiency Causes of Adenosine monophosphate deaminase 1 deficiency Genetics of Adenosine monophosphate deaminase 1 deficiency Treatments: Adenosine monophosphate deaminase 1 deficiency Names and Terminology [familydiagnosis.com]
Prognosis
Vetch adenosine monophosphate deaminase deficiency prognosis for liver lexicologically shingled from the cyrilla. Jacqulyn is the encyclopedically eventful endospore. Unusably stertorous bezant is danced unlike the hyemal irksomeness. [piesib.gawi.ru]
Prognosis - Adenosine monophosphate deaminase deficiency Not supplied. Treatment - Adenosine monophosphate deaminase deficiency Not supplied. Resources - Adenosine monophosphate deaminase deficiency [checkorphan.org]
Etiology
Deficiency of myoadenylate deaminase is heterogeneous in etiology and results in derangement of purine nucleotide catabolism and interconversion. [ommbid.mhmedical.com]
Pulmonary insufficiencies of unknown etiology 4. [slideshare.net]
Metabolic myopathies are the most clearly defined and etiologically understood muscle disorders because their fundamental biochemical defects are known through recent developments in molecular biology and biochemistry. [emedicine.medscape.com]
Epidemiology
Genatlas disease for AMPD1 Gene myopathy,exercise-related Relevant External Links for AMPD1 Genetic Association Database (GAD) AMPD1 Human Genome Epidemiology (HuGE) Navigator AMPD1 Atlas of Genetics and Cytogenetics in Oncology and Haematology: AMPD1 [genecards.org]
Rajabally YA, Simpson BS, Beri S, Bankart J, Gosalakkal JA (2009) Epidemiologic variability of chronic inflammatory demyelinating polyneuropathy with different diagnostic criteria: study of a UK population. Muscle Nerve 39:432-438. [autoimmunediseases.imedpub.com]
Pathophysiology
For more detailed information, particularly with respect to pathophysiology and genetics, we highly recommend the seventh edition of The Metabolic Basis of Inherited Disease, by Charles R. Scriver et al. (McGraw-Hill, 1995). [books.google.com]
References Ording H: Pathophysiology of malignant hyperthermia. [anesthesiology.pubs.asahq.org]
The pathophysiological principles of metabolic myopathies may be simplified into a logical biochemical cascade. [emedicine.medscape.com]
Prevention
Prevention - Adenosine monophosphate deaminase deficiency Not supplied. Diagnosis - Adenosine monophosphate deaminase deficiency Not supplied. Prognosis - Adenosine monophosphate deaminase deficiency Not supplied. [checkorphan.org]
Related to pain Joints: Reduced range of motion Greater with more duration or intensity of exercise Prevention: Partial Previous exercise of same muscles: Eccentric; Progressive Eating after exercise Treatment Analgesics: Nonsteroidal anti-inflammatory [neuromuscular.wustl.edu]
55 years old patient suffering from exercise-induced muscle pain and stiffness due to primary myoadenylate deaminase deficiency has been successfully treated with D-ribose since 1984: single doses of 4 grams administered at the beginning of exercise prevented [link.springer.com]
The retroviruses are made avirulent, so that only the target gene, or ADA gene, is allowed to be transcribed and translated inside of the host's cells, thus preventing an infection from occurring. [www-personal.umd.umich.edu]
Prolonged exercise should be avoided to prevent attacks of rhabdomyolysis. [emedicine.medscape.com]