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Published on: March 4, 2014
[Argentine consensus on late-onset Pompe's disease]
Alberto Dubrovsky1, Ernesto Fulgenzi2, Eduardo L De Vito3,4
1Instituto de Neurociencias, Fundación Favaloro, Buenos Aires, Argentina.
Insights
This consensus updates management guidelines for delayed-onset Pompe disease (PD), a rare metabolic disorder caused by acid alpha-glucosidase deficiency. It focuses on expert opinions for diagnosis, treatment, and follow-up in adults and children.
Area of Science:
- Metabolic Disorders
- Genetics
- Enzyme Deficiencies
Background:
- Pompe disease (PD) is a rare, autosomal recessive metabolic disorder.
- It results from deficient acid alpha-glucosidase enzyme activity.
- Delayed-onset PD presents after one year of age.
Framework:
- Update of the 2013 Argentine Consensus on Pompe disease.
- Expert consensus incorporating recent literature (last 4 years).
- Multidisciplinary expert panel including internal medicine, neurology, pulmonology, and rehabilitation specialists.
Implementation:
- Focus on diagnosis, treatment, and follow-up strategies for delayed-onset PD.
- Literature review with emphasis on the latest research findings.
- Expert opinion-based recommendations due to limited data.
Implications:
- Provides updated clinical guidance for managing delayed-onset Pompe disease.
- Aims to improve patient outcomes through expert-driven recommendations.
- Highlights the need for continued research in rare metabolic disorders.
Abstract:
Pompe's disease (PD) is an infrequent metabolic autosomic recessive disorder produced by the lack or deficiency of the acid alpha-glucosidase lysosomal enzyme in tissues of involved individuals. Delayed-onset PD is considered whenever symptoms onset start after one year of age. We present an update of the recommendations for the management of delayed-onset PD, taking as reference the guidelines from the Argentine Consensus for diagnosis, treatment and follow-up of PD published in 2013. The present consensus gathered several experts in PD in the areas of internal medicine, laboratory diagnosis, neuropathology, pulmonology, nutrition, neurology, metabolic and neuromuscular disorders as well as rehabilitation to perform an update of the literature of delayed-onset PD, with special attention on relevant information published within the last 4 years. The entire working group approved the final version of the consensus. Each participant provided a declaration of conflict of interest. As a result, it is an update of the previous Argentine PD Consensus with focus on the delayed-onset presentation of the disease. Being such infrequent disorder, available data were rather limited and thus, the recommendations represent expert opinions.
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