glycogen storage diseases Flashcards
von gierke type I
severe fasting hypoglycemia, increased glycogen in the liver, increased blood lactate, increased triglycerides, increased uric acid secretion, and hepatomegaly. neutropenia and clotting disorders
enzyme def in von girke
glucose 6 phosphatase.
von gierke inheritance and treatment
autosomal recessive, frequent glucose intake.
cori disease
milder form of type I. normal lactate levels. defective debranching enzyme. (alpha-1,6-glucosidase)
why is cori less dramatic than von grikes
because gluconeogenesis is still in tact. glucose can still make it into the blood. less hypoglycemia
pompe
caardiomegaly, hypertrophic cardiomyopathy, exercise intolerance, leads to early death. acid maltase def or lysosomal alpha 1,4 glucosidase. autosomal recessive. trashes the heart.
mcardle
increased glycogen in muscle. painful muscle cramps. myoglobinuria. skeletal muscle glycogen phosphorylase. autosomal recessive. blood glucose typically unaffected.