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Glycogen Storage Disease Type 10
Glycogen Storage Disease due to Phosphoglycerate Mutase Deficiency

Presentation

We present a family with muscle phosphoglycerate mutase (PGaM) deficiency, mild glycogen storage and some exertional myalgia. Investigations of muscle biopsy tissue showed a residual PGaM activity in muscle due to a small amount of brain isoenzyme. [ncbi.nlm.nih.gov]

Special emphasis is placed on acutely presenting disorders and emergency situations. The rationale of the approaches presented in this book are based on extensive, collective clinical experience. [books.google.com]

Clinical Presentation  Hepatic Presentation  Hepatomegaly, short stature, hypoglycemia, and hyperlipidemia predominate in children, may be indistinguishable from GSD I.  Splenomegaly can be present.  kidneys are not enlarged and renal function is [slideshare.net]

Entire Body System

  • Pathologist

    Confidently prepare for the upcoming recertification exams for clinical pathologists set to begin in 2016. [books.google.com]

Ears

  • Hearing Impairment

    Apraxia Progressive cerebellar ataxia Bilateral sensorineural hearing impairment Specific learning disability Abnormal pyramidal sign Onset Muscular hypotonia of the trunk Visual loss Respiratory failure Myoclonus Respiratory distress Cerebral atrophy [mendelian.co]

    Impairment Noonan Syndrome Noonan Syndrome 3 Noonan Syndrome, LEOPARD Syndrome Normal Tension Glaucoma Norrie Disease Nucleoside Phosphorylase Deficiency Obesity, Hyperphagia, and Developmental Delay Obesity, Severe Obesity, Morbid, with Hypogonadism [sequencing.com]

  • Low Set Ears

    Andersen syndrome is characterized by periodic paralysis, which may be accompanied by fixed weakness; long QT syndrome with cardiac ventricular arrhythmias; and dysmorphic craniofacial features, such as micrognathia, low-set ears, short stature, and syndactyly [what-when-how.com]

Eyes

  • Visual Impairment

    Apraxia Progressive cerebellar ataxia Bilateral sensorineural hearing impairment Specific learning disability Abnormal pyramidal sign Onset Muscular hypotonia of the trunk Visual loss Respiratory failure Myoclonus Respiratory distress Cerebral atrophy [mendelian.co]

Neurologic

  • Stroke

    […] all the latest approaches in clinical laboratory medicine with new and updated coverage of: the chemical basis for analyte assays and common interferences; lipids and dyslipoproteinemia; markers in the blood for cardiac injury evaluation and related stroke [books.google.com]

    Genetic Study of Pyruvate Dehydrogenase Complex Deficiencies Pyruvate Dehydrogenase Complex Deficiency DiseaseUniversity Hospitals Cleveland Medical Center | Rare Diseases Clinical Research Network | National Institute of Neurological Disorders and Stroke [mitoaction.org]

    Immunodeficiency Sensorineural hearing impairment Cognitive impairment Nephrolithiasis Tics Hepatomegaly Congestive heart failure Short stature Hypertrophic cardiomyopathy Elevated hepatic transaminase Rare Symptoms - Less than 30% cases Muscle cramps Stroke [mendelian.co]

    Acidaemia with Homocystinuria, Cbl F Methylmalonic Aciduria MMA Methylmalonyl-CoA Epimerase Deficiency GAMT Methylmalonyl-CoA Mutase Deficiency Mevalonate Kinase Deficiency Microcephaly, Amish Type Mitochondrial Encephalomyopathy, Lactic Acidosis and Stroke-Like [climb.org.uk]

    […] sinus syndrome Lown IVb ventricular arrhythmia Wolff–Parkinson–White Aneurysm: Cerebral (Basilar or Aortic); Aortic Aorta: Stiff Cerebral atherosclerotic angiopathy Mutations: Ala237Val; Gly293Arg 13 Dolichoectasia: Basilar & Internal carotid arteries Stroke [neuromuscular.wustl.edu]

Workup

Assessment of Cardiac Involvement in Fabry Disease (FD) with Native T1 Mapping Mass-spectrometry based quantification of biomarkers is a routine step in the diagnostic workup of many diseases at CENTOGENE. [centogene.com]

Serum

  • Glucose Increased

    If exercise is prolonged, utilization of FFAs and blood glucose increases. Because the availability of FFAs from adipose tissue is almost unlimited, a healthy person can perform moderate exercise for many hours. [what-when-how.com]

Treatment

Prognosis and treatment of glycogen storage diseases vary by type, but treatment typically includes dietary supplementation with cornstarch to provide a sustained source of glucose for the hepatic forms of GSD and exercise avoidance for the muscle forms [msdmanuals.com]

However, the focus of the book remains clinical, describing symptoms and signs at presentation, how to come to a diagnosis and methods for treatment. As with the previous edition, the book can be used in two main ways. [books.google.com]

Página 414 - Report of the National Cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel II). ‎ [books.google.es]

Treatments may include special diets, supplements, and medicines. Some babies may also need additional treatments, if there are complications. For some disorders, there is no cure, but treatments may help with symptoms. [medlineplus.gov]

Liver transplantation has been performed and may be an effective treatment. [ommbid.mhmedical.com]

Prognosis

Prognosis is good; adult patients have normal stature and minimal hepatomegaly. [ommbid.mhmedical.com]

Despite any of these interventions, the prognosis is guarded for patients with all of the glycogenoses. [euroformhealthcare.biz]

Antibiotic agents have improved the prognosis for individuals with severe neutropenia. [en.wikipedia.org]

Follow-up, Complications, Prognosis,  Proximal and distal renal tubular as well as glomerular functions are at risk.  Single or multiple liver adenomas may develop in the second or third decade.  Osteopenia.  Anemia.  Polycystic ovaries (PCOs).  [slideshare.net]

Prognosis and treatment of glycogen storage diseases vary by type, but treatment typically includes dietary supplementation with cornstarch to provide a sustained source of glucose for the hepatic forms of GSD and exercise avoidance for the muscle forms [msdmanuals.com]

Etiology

They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]

Diagnostic approaches to pediatric cardiomyopathy of metabolic genetic etiologies and their relation to therapy. Prog Pediatr Cardiol 2007; 24(1): 15–25. CrossRef PubMed Google Scholar Kollberg et al. [link.springer.com]

On the other hand, the late-onset variant of GSD IV (adult polyglucosan body disease APBD) is one of several polyglucosan disorders (including La- fora disease) due to different etiologies. [archive.org]

"Primary thrombocytopenic purpura and acquired hemolytic anemia; evidence for a common etiology". Archives of Internal Medicine. 87 (1): 48–65. doi:10.1001/archinte.1951.03810010058005. PMID 14782741. ^ "Evans syndrome". [en.wikipedia.org]

On the other hand, the late-onset variant of GSD IV (adult polyglucosan body disease APBD) is one of several polyglucosan disorders (including Lafora disease) due to different etiologies. [scienceopen.com]

Epidemiology

2 : Xq24 Phosphorylase (McArdle's), severe phenotype: 11q13 Triosephosphate isomerase : 12p13 Acid Maltase Deficiency (Glycogen storage disease 2 (GSD2); Pompe disease) ● Acid α-1,4-glucosidase (GAA) ; Chromosome 17q25.3; Recessive Nosology: LGMD 2V Epidemiology [neuromuscular.wustl.edu]

Neutropenic fever in individuals treated for cancer has a mortality of 4–30%.[47] Epidemiology[edit] Neutropenia is usually detected shortly after birth, affecting 6% to 8% of all newborns in neonatal intensive care units (NICUs). [en.wikipedia.org]

Data from combined studies has involved >2,000,000 samples from routine analyses and international screening programs of roughly 7,000 patients diagnosed with different LSDs demonstrates our expertise in these diseases including precise epidemiological [centogene.com]

Chinnery PF, Johnson MA, Wardell TM et al. (2000) The epidemiology of pathogenic mitochondrial DNA mutations. Ann Neurol 48: 188–193 PubMed Google Scholar 18. [link.springer.com]

Pathophysiology

Understanding of the pathophysiology underlying the metabolic myopathies provides unique insights into the normal regulation of muscle metabolism. [neuromuscular.dk]

[edit] The pathophysiology of neutropenia can be divided into congenital and acquired. [en.wikipedia.org]

The syndrome of rhabdomyolysis: pathophysiology and diagnosis. Eur J Intern Med. 2007;18(2):90–100. PubMed Google Scholar Jhawar M, George P, Pawar B. [ojrd.biomedcentral.com]

Prevention

The Lipid Research Clinics Coronary Primary Prevention Trial Results, II: the relationship of reduction in incidence of coronary heart disease to cholesterol lowering. ‎ [books.google.es]

Knowledge of the pathogenesis, genetics, and molecular biology of neuromuscular disorders is essential both in developing and applying new therapies and preventive measures, and in formulating genetic and prognostic advice. [books.google.com]

[…] to reduce or prevent further deterioration of renal function. [slideshare.net]

A high-protein diet may also be effective in preventing hypoglycemia as gluconeogenesis is intact in these patients. Currently, there is no effective treatment for the progressive myopathy or cardiomyopathy. [ommbid.mhmedical.com]

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