GLYCEROL KINASE DEFICIENCY | |
GKD; HYPERGLYCEROLEMIA, GLYCEROLURIA; GLYCEROL KINASE DEFICIENCY | |
307030
OMIM = Online Mendelian Inheritance of Men | |
408 | |
glycerol kinase | |
2.7.1.30 | |
Xp21.2 |
|
E74.8 | |
rare (>50 cases) X-linked recessive mutation in the GK gene clinically distinct 3 forms: 1) complex glycerol kinase deficiency, Xp21 contiguous gene syndrome 2) infantile form - development delay 2) juvenile form - symptomatic3) benign or (asymptomatic) adult form ‘pseudohypertriglyceridaemia’ is frequently misdiagnosed as hypertriglyceridaemia in Isolated glycerol kinase deficiency (GKD), | |
Laboratory findings | Glycerol inc (serum) Glycerol inc (urine) Creatine kinase normal/inc (serum) D-Glucose dec (serum) Ketone bodies (urine) normal/inc (urine) pH normal/dec (blood) Pseudohypertriglyceridemia (serum) Sodium normal/inc (serum) Triglycerides inc (serum) |
Symptoms | hypoglycemia defect of adrenal gland or function adrenal insufficiency dysmorphism growth retardation, poor growth ketosis, ketoacidosis metabolic acidosis no clinical symptoms (probably) obstructive airway disease short stature strabismus cholestasis coma cryptorchism EEG abnormalities [-] failure to thrive fever hyperpigmentation hypothermia intellectual disability/intellectual developmental disorder lethargy, drowsiness, apathy liver involvement or dysfunction muscle weakness myopathy onset, adolescent onset, childhood onset, infancy onset, neonatal Organic acids, urine osteoporosis seizures vomiting |