A Troublesome Debate: When to Start Treatment in Adult Pompe Patients?

نویسنده

  • Benedikt Schoser
چکیده

Based on those guidelines, distinct scenarios will be discussed. Scenario 1: When shall we start treatment in an asymptomatic Pompe patient with hyperCKemia only? Here, most Pompe experts would recommend a wait-and-see strategy with close clinical follow-up every 3 months with functional measures, such as sixminute walking test, lung function tests, and a muscle MRI investigation at least every 6 months, and conceivably a sleep lab night. Scenario 2: In any case of sole or combined hypoventilation as a sign of diaphragmatic insuffi ciency, a clear recommendation for A Troublesome Debate: When to Start Treatment in Adult Pompe Patients?

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Quantification of Diaphragm Mechanics in Pompe Disease Using Dynamic 3D MRI

BACKGROUND Diaphragm weakness is the main reason for respiratory dysfunction in patients with Pompe disease, a progressive metabolic myopathy affecting respiratory and limb-girdle muscles. Since respiratory failure is the major cause of death among adult patients, early identification of respiratory muscle involvement is necessary to initiate treatment in time and possibly prevent irreversible ...

متن کامل

Impact of enzyme replacement therapy on survival in adults with Pompe disease

Background Since 2006, enzyme replacement therapy (ERT) has been available as a treatment for patients with Pompe disease. ERT has shown efficacy concerning muscle strength and pulmonary function in adult patients. However, no data on the effect of ERT on the survival of adult patients are currently available. Our objective was to assess the effect of ERT on survival in adult patients with Pomp...

متن کامل

Drooling and Various Therapeutic Modalities

ABSTRACT: Droolig or sialorrhea is a common stigmatizing problem in neurologically damaged child or adult. It is troublesome in perhaps one-third of children with cerebral palsy. Drooling occurs when there is a lack of coordinated control of facial, head and neck musculature. Various therapeutic modalities are advocated for the treatment of drooling ,such as surgical or non surgical, some of ...

متن کامل

Fabry dissase from the dentist view

                 Fabry disease is a rare, inherited disease with lack of the enzyme alpha-galactosidase A (α-Gal)  in the cells of the body that participates in the breakdown of fat. The disease begins in early childhood, progresses slowly throughout life and results in severe damage of the kidneys, heart and central nervous system. The disease is life-threatening and if left untreated, death ...

متن کامل

Headache: A Presentation of Pompe Disease; A Case Report

Pompe disease, also termed glycogen storage disease type II or acid maltase deficiency, caused by deficient activity of acid alpha-glucosidase (GAA), the glycogen degrading lysosomal enzyme. As a result, massive lysosomal glycogen deposits in the numerous organs including the muscles. In Pompe disease weakness of truncal muscles is a prominent presentation which results in respiratory failure a...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Journal of neuromuscular diseases

دوره 2 s1  شماره 

صفحات  -

تاریخ انتشار 2015