Friday, June 24, 2011

GLYCOGEN STORAGE DISEASES


TYPES
DEFECT-ENZYME
FINDINGS
ORG-AFFECTED
I (Von Gierke’s disease)
Glucose-6-phosphstase
Severe fasting hypoglycemia, ↑↑ glycogen in liver, ↑ blood lactate, hepatomegaly
Liver
Kidneys

II (Pompe’s disease)
α-1,4 glucosidase(acid maltase)
Cardiomegaly and systemic findings leading to early death
All

III ( Cori’s disease)
Debranching enzyme ( α-1,6 glucosidase)
Milder form of type I w/ normal blood lactate levels
Liver
Muscle

V ( McArdle’s disease)
Skeletal muscle glycogen phosphorylase
↑ glycogen on muscle, but cannot break it down, leading to painful muscle cramps, myoglobinuria w/ strenuous exercise, all relieve w/ rest
Muscle

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