Infantile Pompe Disease: Atypical Variant.
نویسندگان
چکیده
Pompe disease (glycogen storage disease type II, glycogenosis II, or acid maltase defi ciency) is a lysosomal storage disorder in which an alpha-glucosidase (GAA) defi ciency causes intralysosomal accumulation of glycogen in all tissues, notably skeletal muscles. Pompe disease is transmitted as an autosomal recessive trait and is caused by mutations in the gene encoding the GAA, located on chromosome 17q25.2-q25.3. The different disease phenotypes are related to the levels of residual GAA activity in muscles. Less than 3% of normal enzyme activity is found in severe infantile cases, and residual levels ranging from 3% to 30% of normal are found in less severe late onset forms. Pompe disease clinically, presents a wide spectrum of phenotypes, ranging from the severe and rapidly progressive infantile onset form, which incorporates patients who display symptoms before 1 year of age, and the heterogeneous and more slowly progressive late onset form, which develops symptoms after 1 year of age and includes the childhood, juvenile and adult onset groups. This type typically presents respiratory insuffi ciency and no cardiac manifestations. The infantile onset is classifi ed as classic infantile (presence of cardiomyopathy) and atypical or muscular variant.
منابع مشابه
A Case of Early Infantile Pompe Disease with Atypical Manifestation.
Pompe disease is a rare autosomal recessive lysosomal storage disease caused by defi ciency of acid α-glucosidase (GAA). This defi ciency results in glycogen accumulation in the lysosomes, leading to lysosomal swelling, cellular damage, and organ dysfunction. In early onset patients (the classic infantile form), this glycogen accumulation leads to death, usually before the age of 1 year. Some p...
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ورودعنوان ژورنال:
- Journal of neuromuscular diseases
دوره 2 s1 شماره
صفحات -
تاریخ انتشار 2015