Presentation
Zakim and Boyer's Hepatology-the defining work in hepatology-presents comprehensive coverage of both basic science and clinically relevant developments so you can provide the best possible patient care. Drs. [books.google.de]
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]
Clinical Presentation Hepatic Presentation Hepatomegaly, short stature, hypoglycemia, and hyperlipidemia predominate in children, and this presentation may be indistinguishable from GSD I. [docplayer.net]
Patients with either phosphorylase or phosphorylase kinase deficiencies present in early childhood with hepatomegaly and growth retardation. Hypoglycemia and hyperlipidemia are variable and, if present, usually mild. [ommbid.mhmedical.com]
This conclusion is substantiated through the continuum type presentation witnessed, wherein heterozygous parents have intermediate enzyme activity. [en.wikipedia.org]
Workup
The diagnosis workup is summarized in Figure 2. [ojrd.biomedcentral.com]
Treatment
Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.de]
Treatment - Aldolase A deficiency Treatment is elimination of all sources of galactose in the diet, most notably lactose, which is a source of galactose present in all dairy products, including milk-based infant formulas and a sweetener used in many foods [checkorphan.org]
Short-term treatment of fructose 1-phosphate aldolase deficiency is glucose for hypoglycemia; long-term treatment is exclusion of dietary fructose, sucrose, and sorbitol. Many patients develop a natural aversion to fructose-containing food. [msdmanuals.com]
Liver transplantation has been performed and may be an effective treatment. [ommbid.mhmedical.com]
In acquired myopathies, treatment is targeted toward the underlying cause. Treatment of statin myopathies is dependent on creatine phosphokinase levels and degree of muscle symptoms. Consider lower doses when initiating statin therapy. [clevelandclinicmeded.com]
Prognosis
Prognosis - Aldolase A deficiency Hereditary fructose intolerance may be relatively mild or a very severe disease. Complete avoidance of fructose and sucrose produces good results in most children with this condition. [checkorphan.org]
Prognosis is excellent with treatment. This deficiency causes benign elevation of blood and urine fructose levels (benign fructosuria). Inheritance is autosomal recessive ; incidence is about 1/130,000 births. [msdmanuals.com]
What is the Prognosis of Hereditary Fructose Intolerance? (Outcomes/Resolutions) Mild cases of Hereditary Fructose Intolerance are observed, when the disorder is detected early. This has a good prognosis. [dovemed.com]
Prognosis is good; adult patients have normal stature and minimal hepatomegaly. [ommbid.mhmedical.com]
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]
Etiology
Rhabdomyolysis may also be seen with infectious etiologies, alcohol, and toxic exposures. [clevelandclinicmeded.com]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
(Etiology) Hereditary Fructose Intolerance is caused by inheriting an autosomal recessive gene, which lies on chromosome 9 and is defective The problem gene (known as ALDOB), disturbs or changes the normal and physiologically programmed production of [dovemed.com]
(April 4, 2013) Etiology and therapeutic approach to elevated lactate. Mayo Clinic Proceedings. Available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3975915. Accessed on 6/5/18. Lactate Information Sheet for Clinicians. [labtestsonline.it]
Epidemiology
12 - Glycogenosis due to aldolase A deficiency - Glycogenosis type 12 Classification (Orphanet): - Inborn errors of metabolism - Rare genetic disease - Rare hematologic disease Classification (ICD10): - Endocrine, nutritional and metabolic diseases - Epidemiological [csbg.cnb.csic.es]
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]
Epidemiology Incidence : 1 per 20,000 live births Age of onset : presentation during infancy or childhood Sex : ♂ = ♀ Mode of inheritance : mostly autosomal recessive Pathophysiology Defects in enzymes that are responsible for either glycolysis or glycogenolysis [amboss.com]
GSD I is typically treated with frequent small meals of carbohydrates and cornstarch to prevent low blood sugar, while other treatments may include allopurinol and human granulocyte colony stimulating factor. [21] Epidemiology [ edit ] Overall, according [en.wikipedia.org]
Table 1 Clinical Features of Common Myopathies Myopathy Epidemiology Distribution of Weakness Other Systemic Manifestations Acquired Myopathies Dermatomyositis Female > male Peak incidence: children and ages 40–60 yr Symmetrical proximal muscle weakness [clevelandclinicmeded.com]
Pathophysiology
Reinforce your foundation in basic science with the concise Pathophysiology of Therapeutic Targets section. See clear presentations of liver disease through hundreds of detailed, color illustrations. [books.google.de]
Adrogue, Metabolic acidosis: pathophysiology, diagnosis and management. J Nephrol. 19 Suppl. 9, S62 (2006) M. Kosch et al., Störungen des Säure-Basen-HaushaltsRationale Diagnostik und ökonomische Therapie. Dtsch. Ärzteblatt 102, B 1603 (2005) Y.S. [charite.de]
Rare hereditary red blood cell enzymopathies associated with hemolytic anemia – pathophysiology, clinical aspects, and laboratory diagnosis. Int J Lab Hematol. 36(3):388-97, 2014. [PubMed: 24750686]· Arya R, Layton DM, Bellingham AJ. [bloodgenetics.com]
Epidemiology Incidence : 1 per 20,000 live births Age of onset : presentation during infancy or childhood Sex : ♂ = ♀ Mode of inheritance : mostly autosomal recessive Pathophysiology Defects in enzymes that are responsible for either glycolysis or glycogenolysis [amboss.com]
Lipids in hepatic glycogen storage diseases: pathophysiology, monitoring of dietary management and future directions. Journal of Inherited Metabolic Disease. January 30 2015. 38(3):537-543. [Full Text]. [emedicine.medscape.com]
Prevention
A lactose-free diet prevents acute toxicity and reverses some manifestations but may not prevent neurocognitive deficits Resources - Aldolase A deficiency [checkorphan.org]
This is to prevent serious harm from occurring, during the child’s most critical formative phase. [dovemed.com]
[…] mutation in successful embryos. [5] Infrequent documentation thus prevents clear generalisation of symptoms and causes. [en.wikipedia.org]
[…] 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]