Presentation
Our case exemplifies the presentation of this disorder and highlights the important lesson of distinguishing between adrenal hypoplasia congenita and congenital adrenal hyperplasia, as well as the sometimes subtle presentation of adrenal insufficiency [pediatrics.aappublications.org]
At the age of 11 days he presented a clinical picture of salt loss with lethargy, vomiting, metabolic acidosis, hypoglycaemia, hyponatraemia and hyperpotassaemia. Fluid therapy and corticoids treatment was established. [neurologia.com]
In females the disorder is expressed only when there are two copies of the affected gene present on each X chromosome but since the glycerol kinase gene is present only on one X chromosome the disorder is not expressed in women. [en.wikipedia.org]
Entire Body System
- Short Stature
stature Decreased body height Small stature [ more ] 0004322 30%-79% of people have these symptoms Cryptorchidism Undescended testis Undescended testes [ more ] 0000028 EEG abnormality 0002353 Hyperlordosis Prominent swayback 0003307 Osteoporosis 0000939 [rarediseases.info.nih.gov]
- Inflammation
Yet, over a decade later, understanding of how this genetic defect leads to colonization by bacteria and inflammation in the lung remains elusive. Anteprima libro » [books.google.it]
Additionally, the liver biopsy did not have any of the hepatocyte loss, inflammation, or necrosis typically associated with acute liver failure, or any cirrhosis or fibrosis indicative of chronic liver injury. [pediatrics.aappublications.org]
Gastrointestinal
- Failure to Thrive
Affected children present with vomiting, feeding difficulties, dehydration, failure to thrive, salt wasting, hypoglycemic convulsions, and hyperpigmentation in the first months of life. [cags.org.ae]
Cardiovascular
- Hypotension
He was managed with broad-spectrum antibiotics for presumed sepsis, and with multiple vasopressors and hydrocortisone for his refractory hypotensive shock. [pediatrics.aappublications.org]
Musculoskeletal
- Osteoporosis
[…] reflexes 0001315 Short stature Decreased body height Small stature [ more ] 0004322 30%-79% of people have these symptoms Cryptorchidism Undescended testis Undescended testes [ more ] 0000028 EEG abnormality 0002353 Hyperlordosis Prominent swayback 0003307 Osteoporosis [rarediseases.info.nih.gov]
Symptoms visible at or shortly after birth include: cryptorchidism strabismus seizures [10] Some other symptoms that become more noticeable with time would be: metabolic acidosis hypoglycemia adrenal cortex insufficiency [13] learning disabilities osteoporosis [en.wikipedia.org]
Psychiatrical
- Psychomotor Retardation
Mental retardation, nonspecific Mental-retardation [ more ] 0001249 Metabolic acidosis 0001942 Muscular hypotonia Low or weak muscle tone 0001252 Myopathy Muscle tissue disease 0003198 Neurological speech impairment Speech disorder Speech impairment [rarediseases.info.nih.gov]
Face, Head & Neck
- Downturned Corners of the Mouth
corners of mouth Downturned corners of the mouth Downturned mouth [ more ] 0002714 Episodic vomiting 0002572 Frontal bossing 0002007 Growth delay Delayed growth Growth deficiency Growth failure Growth retardation Poor growth Retarded growth [ more ] [rarediseases.info.nih.gov]
Neurologic
- Irritability
Patients with the glycerol intolerance syndrome have episodes of sweating, irritability, confusion, marked lethargy, and coma. Hypoglycemia and seizures are variably observed. Episodes can be precipitated by glycerol ingestion or infusion. [ommbid.mhmedical.com]
[…] white patches in the mouth or on the throat (oral thrush) Painful cracks at the corners of the mouth (oral thrush) Skin rashes, patches, and blisters found most commonly in the groin, between fingers and toes, and under the breasts Vaginal itching and irritation [humandiseaseinsight.com]
- Hyperactivity
At 4.5 years, he showed mild asymmetric spasticity, hyperactivity, mild mental retardation, convergent strabismus, myopia and mild facial dysmorphism. [nature.com]
Workup
A full endocrine workup revealed nearly absent adrenocorticotropic hormone. [pediatrics.aappublications.org]
Treatment
Umesh Alegaonkar MD - General Medicine, MBBS General Physician - Specializes in Treatment of Glycerol Kinase Deficiency Guru Prasad, B. [lybrate.com]
Treatment [ edit ] Treatments for Glycerol Kinase Deficiency are targeted to treat the symptoms because there are no permanent treatments for this disease. [en.wikipedia.org]
Prognosis
With meals at frequent intervals, access to glucose and avoidance of strenuous sports, the prognosis is good for a normal adult life of a young child with isolated GKD and symptoms of hypoglycaemia. [ncbi.nlm.nih.gov]
Universitetssjukhuset/SS, Göteborg, kl. 09.00 Publication type: Doctoral thesis Keywords: contiguous gene syndrome diagnose exercise fasting glucose deficit glycerol glycerol kinase deficiency metabolism molecular modelling mRNA analysis mutation natural history prognosis [gupea.ub.gu.se]
Glycerol kinase deficiency: follow-up during 20 years, genetics, biochemistry and prognosis. Acta Pediatr, 93 (2004), pp. 911-921 [12] A.P. Walker, F. Muscatelli, A.N. Stafford, J. Chelly, N. Dahl, H.K. Blomquist, et al. [elsevier.es]
[…] associated with mental retardation in patients with complex glycerol kinase deficiency who have deletions extending telomeric of DAX1. ( 15300857 ) Zhang YH...Dipple KM 2004 27 Glycerol kinase deficiency: follow-up during 20 years, genetics, biochemistry and prognosis [malacards.org]
Etiology
Beatty ME, Zhang YH, McCabe ERB, Steiner RD (2000) Fructose-1,6-diphosphatase deficiency and glyceroluria: one possible etiology for GIS. Molec Genet Metab 69:338–340 Google Scholar 2. [link.springer.com]
Murata Y, Ogata J, Higaki Y, Kawashima M, Yada Y, Higuchi K, Tsuchiya T, Kawainami S, Imokawa G: Abnormal expression of sphingomyelin acylase in atopic dermatitis: An etiologic factor for ceramide deficiency? J Invest Dermatol 1996;106:1242–1249. [karger.com]
It is possible that his siderosis was related to other etiologies. [pediatrics.aappublications.org]
Leu 194 What is the epidemiology of lactose intolerance Age-dependnet and/or hereditary (blacks and Asians) 195 What is the etiology of Homocystinuria defect in cystathionine synthase. [aippg.net]
Epidemiology
Leu 194 What is the epidemiology of lactose intolerance Age-dependnet and/or hereditary (blacks and Asians) 195 What is the etiology of Homocystinuria defect in cystathionine synthase. [aippg.net]
Pathophysiology
[…] test may be helpful Evaluation of pseudohypertriglyceridemia for possible glycerol kinase deficiency Evaluation of triglyceride as a cardiovascular risk factor in individuals with elevated cholesterol values Clinical Information Discusses physiology, pathophysiology [mayomedicallaboratories.com]
Further studies focused on the relationship between cholestasis and cortisol deficiency are warranted, as they may provide insight into the pathophysiology of disorders such as complex GKD. [pediatrics.aappublications.org]
[…] a triglyceride of 200mg/dl (2.3mmol/l) as an important threshold for triggering “therapeutic lifestyle change”, although a normal fasting plasma triglycerides is defined as ≤150mg/dl (1.7mmol/l).2 In view of the importance of lipids to biologic and pathophysiological [elsevier.es]
Prevention
Subscribe to RSS feed Welcome About Us Our Team Office Tour Hours of Operation Emergency Contact Services Examinations Infection Control Prevention Emergencies Post-Op Care First Visit Office Policies General Policies Appointments Insurance Claims & Co-Payments [greenlakekidsdentistry.com]
These episodes can be prevented or at least reduced in number by the use of a reduced‐fat and therefore reduced‐glycerol diet. Other families exhibit the benign form of isolated glycerol kinase deficiency. [onlinelibrary.wiley.com]
The ring-like walkway that runs around the courtroom looks down onto the proceedings below, but the canopy prevents a clear view. Perrault has created a new landmark. [architectural-review.com]
This not only prevents the process-based risk of fire or explosion: in fluid and gas filtration these hybrid meshes also prevent electric fields from forming that negatively impact flow mechanisms or filtration rates. [filtsep.com]
[…] architect's words: "Switching the inside lights on reflects the interior of the apartment onto the windows, and people outside can see in; however leaving the outside lights on illuminates the interior, turning the windows transparent, and people outside are prevented [world-architects.com]