GLYCOGEN STORAGE DISEASE TYPE II. INFANTILE ONSET. POMPE DISEASE | |
GSD2; GLYCOGEN STORAGE DISEASE II | |
232300
OMIM = Online Mendelian Inheritance of Men | |
308552 | |
Lysosomal alpha-glucosidase | |
3.2.1.3 | |
17q25.3 |
|
E74.0 | |
rare (1:100000 ) autosomal recessive mutation in the GAA gene 1) infantile onset: cardiomegaly, progressive weakness, macroglossia 2) juvenile onset: (cardiac involvement), slower progression 3) adult onset: slowly progressive myopathy | |
Laboratory findings | alpha-1,4-Glucosidase () alpha-Glucosidase dec (muscle) alpha-Glucosidase dec (fibroblasts) Aspartate aminotransferase (ASAT, SGOT) inc (plasma) cardiac Troponin T (cTnT) normal/inc (plasma) Creatine kinase inc (plasma) Glycogen inc (tissue) Lymphocytes, vacuoles (blood) Oligosaccharides inc (urine) Transaminases (ASAT/ALAT) inc (serum) |
Symptoms | cardiomegaly cardiomyopathy cardiomyopathy, hypertrophic early death ECG abnormalities [-] feeding difficulties, poor feeding hearing defect, deafness heart failure, cardiac failure hepatomegaly (large liver) hydrops fetalis hypotonia infections (severe or recurrent) macroglossia, large/protuding tongue muscle weakness myopathy onset, childhood onset, infancy onset, neonatal progressive muscle defect respiratory insufficiency |