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In Vitro Enzyme Measurement to Test Pharmacological Chaperone Responsiveness in Fabry and Pompe Disease
Published on: December 20, 2017
Pompe disease with heterogeneous presentations within a family
Myftar Barbullushi1, Alma Idrizi2, Eriola Bolleku2
1Service of Nephrology, UHC "Mother Teresa", Tirana, Albania. m_barbullushi@yahoo.com
Abstract:
Pompe disease is an acid maltase deficiency being part of glycogen storage diseases that affects all age groups. In both childhood and adult forms, the classic clinical picture is that of a progressive myopathy. Respiratory muscle involvement is common, may occur early in the course of the disease, and is the most frequent cause of mortality from acid maltase deficiency. Its association with rhabdomyolysis is rare and with a fatal prognosis. We describe the cases of a family with Pompe disease with a clinical spectrum extending throughout different ages of onset, degrees of organ involvement, and rates of progression. The twin patients with adult form of Pompe disease presented episodes of acute renal failure and respiratory insufficiency with a good outcome.
Insights
Pompe disease, a glycogen storage disorder, causes progressive muscle weakness. This study details a family
Area of Science:
- Biochemistry
- Genetics
- Neurology
Background:
- Pompe disease, or acid maltase deficiency, is a rare genetic disorder impacting glycogen metabolism.
- It is a type of glycogen storage disease (GSD) affecting various age groups with progressive myopathy.
- Respiratory muscle weakness is a hallmark, often leading to mortality.
Observation:
- This report details a family exhibiting a wide spectrum of Pompe disease.
- Cases included varying ages of onset, disease severity, and progression rates.
- Twin adult-onset patients experienced acute renal failure and respiratory insufficiency.
Findings:
- The described family showcases the diverse clinical manifestations of Pompe disease.
- Adult-onset Pompe disease can present with acute complications like renal and respiratory failure.
- Prompt management led to a favorable outcome in the twin patients.
Implications:
- Understanding the clinical variability of Pompe disease is crucial for timely diagnosis.
- Early recognition and intervention can improve outcomes in patients with acute Pompe disease complications.
- This family's experience highlights the importance of comprehensive patient monitoring and management strategies.
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