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Published on: December 20, 2017
The Clinical Management of Pompe Disease: A Pediatric Perspective
1Conde S. Januário Hospital, Macau 999078, China.
Insights
Pompe disease (PD) is a rare inherited disorder causing muscle damage due to glycogen buildup. Early diagnosis via newborn screening and enzyme replacement therapy (ERT) are crucial for better outcomes.
Area of Science:
- Biochemistry
- Genetics
- Metabolic Disorders
Background:
- Pompe disease (PD) results from acid α-glucosidase (GAA) deficiency, causing glycogen accumulation in muscles and nerves.
- This leads to cellular dysfunction, muscle damage, and potentially early death, especially in infantile-onset PD (IOPD).
- Rarity and overlapping symptoms complicate early diagnosis and treatment.
Purpose of the Study:
- To review common clinical presentations of Pompe disease.
- To outline essential management strategies for PD.
- To highlight the impact of newborn screening (NBS) and enzyme replacement therapy (ERT) in PD.
Main Methods:
- Literature review of Pompe disease clinical presentations.
- Analysis of management strategies for PD.
- Evaluation of newborn screening (NBS) implications and ERT clinical performance.
Main Results:
- PD presents with diverse, overlapping symptoms, hindering timely diagnosis.
- Early diagnosis and treatment are critical to prevent severe organ damage.
- Newborn screening (NBS) and ERT show promise in improving PD patient outcomes.
Conclusions:
- Effective PD management requires early identification and intervention.
- Newborn screening (NBS) facilitates prompt diagnosis of PD.
- Enzyme replacement therapy (ERT) is a key treatment modality for Pompe disease.
Abstract:
Pompe disease (PD) is an inherited metabolic disorder caused by a deficiency of acid α-glucosidase (GAA), leading to lysosomal accumulation of glycogen, mainly in skeletal and cardiac muscles as well as the nervous system. Patients with PD develop cellular dysfunction and muscle damage. PD can be classified into two classic forms, namely infantile-onset PD (IOPD) and late-onset PD (LOPD). Delayed treatment, particularly in IOPD, would result in significant organ damage and early death. Nonetheless, early diagnosis and timely treatment are often hampered by the rarity of PD and its wide variety of, but overlapping, symptoms. This article reviews the common clinical presentations of PD and outlines the essentials of PD management. In particular, the implications of newborn screening (NBS) and clinical performance of enzyme replacement therapy (ERT) are highlighted.
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Assessment:

