GLYCOGEN STORAGE DISEASE TYPE III. FORBES DISEASE, CORI DISEASE | |
GSD3; FORBES DISEASE, CORI DISEASE, DEBRANCHER GLYCOGENOSIS | |
232400
OMIM = Online Mendelian Inheritance of Men | |
366 | |
Glycogen debranching enzyme | |
3.2.1.33 | |
1p21.2 |
|
E74.0 | |
rare (1:125000, Israel 1:5420) autosomal recessive 2 types: - IIIa: liver and muscle involvement, almost indistinguishable from GSD I in infancy - IIIb: only liver involvement (15%) | |
Laboratory findings | L-Lactic acid normal (plasma) Transaminases (ASAT/ALAT) normal/inc (serum) Amylo-1,6-glucosidase dec (liver) Amylo-1,6-glucosidase dec (muscle) Cholesterol inc (plasma) Creatine kinase normal/inc (serum) D-Glucose normal/dec (serum) Glycogen inc (liver) Ketone bodies (urine) inc (urine) Triglycerides inc (serum) Uric acid normal/inc (serum) |
Symptoms | adiposity cardiomyopathy cardiomyopathy, hypertrophic cirrhosis or fibrosis of liver hepatomegaly (large liver) hypoglycemia liver involvement or dysfunction muscle weakness myopathy osteopenia short stature ECG abnormalities [-] EMG abnormalities [-] growth retardation, poor growth hypotonia ketosis, ketoacidosis liver carcinoma onset, adolescent onset, childhood onset, infancy progressive muscle defect seizures |