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Published on: December 20, 2017
Infantile-onset Pompe disease: Diagnosis and management
Luisa B Bay1, Inés Denzler2, Consuelo Durand3
1Consultora en el Hospital Garrahan. bay.luisa@gmail.com.
Insights
Pompe disease, a rare genetic disorder, results from alpha-glucosidase deficiency. Early diagnosis and enzyme replacement therapy can significantly improve survival and quality of life for patients.
Area of Science:
- Genetics
- Metabolic Disorders
- Neuromuscular Diseases
Background:
- Pompe disease, or glycogenosis type II, is a rare, autosomal recessive, progressive genetic disorder.
- It stems from a deficiency in the enzyme alpha-glucosidase, leading to glycogen accumulation.
- The disease presents in infantile-onset (severe hypotonia, cardiac issues) and late-onset forms (motor involvement).
Purpose of the Study:
- To provide an updated overview of clinical and diagnostic findings in Pompe disease.
- To highlight the importance of early management, particularly enzyme replacement therapy (ERT).
- To review current treatment benefits, adverse effects, and emerging therapeutic research.
Main Methods:
- Literature review of clinical and diagnostic findings.
- Analysis of current treatment options, including enzyme replacement therapy.
- Exploration of novel therapeutic research avenues.
Main Results:
- Early diagnosis and intervention with ERT can enhance patient survival and quality of life.
- Available treatments offer benefits but also carry potential adverse effects.
- Ongoing research is exploring new therapeutic strategies for Pompe disease.
Conclusions:
- Timely diagnosis and initiation of enzyme replacement therapy are crucial for improving outcomes in Pompe disease.
- A comprehensive understanding of treatment benefits and risks is essential for patient management.
- Continued research into novel therapies holds promise for advancing Pompe disease treatment.
Abstract:
Pompe disease, also known as acid maltase deficiency or glycogenosis type II, is a rare severe, autosomal, recessive, and progressive genetic disorder caused by deficiency in alpha-glucosidase. The classic infantile-onset is the most broadly known form of Pompe disease, which presents with severe heart involvement and clear hypotonia, while the non-classic presentation occurs with early motor involvement. Late-onset Pompe disease develops in adults, but it may also occur during childhood or adolescence. Here we update the available clinical and diagnostic findings because an early management with enzyme replacement therapy may improve patients' survival and quality of life. We also review the benefits and adverse effects of available treatments and new lines of therapeutic research.
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