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Glycogen storage diseases

Von Gierke
disease
(type I)

Pompe disease
(type II)
Cori disease
(type III)
McArdle disease
(type V)

ALL Autosomal recessive


Severe fasting hypoglycemia,
Glucose-6-phosphatase def.
glycogen in liver hepatomegaly ttt: frequent oral glucose/corn
starch; avoidance of fructose and
Lactic acidosis,
galactose
triglycerides,
uric acid
o Cardiomegaly, HOCM,
o Lysosomal -1,4-glucosidase def.
o exercise intolerance,
(acid maltase)
o diaphragm weakness Resp. failure o Pompe = pump heart
Milder form of type I normal lactate Debranching enzyme def.
(-1,6-glucosidase)
levels
Gluconeogenesis is intact
- glycogen in muscle, but muscle cannot Skeletal muscle glycogen
break
phosphorylase def.
it down painful muscle cramps,
(myophosphorylase)
-Myoglobinuria (red urine) strenuous
ttt: vitamin B6 (cofactor)
exercise
McArdle = Muscle
-Arrhythmia from electrolyte
abnormalities

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