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词条 Glycogen storage disease type IX
释义

  1. Signs and symptoms

  2. Genetics

  3. Diagnosis

      Types  

  4. Management

  5. See also

  6. References

  7. Further reading

  8. External links

{{Infobox medical condition (new)
| name = Glycogen storage disease IX
| image = Glycogen.svg
| caption = Glycogen structure
|
| pronounce =
| field =
| synonyms =
| symptoms =
| complications =
| onset =
| duration =
| types =
| causes = Mutations in PHKA1, PHKA2, PHKB, or PHKG2 genes[1]
| risks =
| diagnosis = CBC, Urinalysis[2][3]
| differential =
| prevention =
| treatment = Physical therapy, follow metabolic nutritionist[2]
| medication =
| prognosis =
| frequency =
| deaths =
}}Glycogen storage disease type IX is a hereditary deficiency of glycogen phosphorylase kinase B that affects the liver and skeletal muscle tissue. It is inherited in an X-linked or autosomal recessive manner.[1]

Signs and symptoms

The signs and symptoms in glycogen storage disease type IX include:[1]

  • Enlarged liver
  • Slowed growth
  • Motor development delay (mild)
  • Low blood sugar accompanied by ketosis
  • Lack of muscle tone

Most of these signs and symptoms diminish as adulthood sets in.[1]

Genetics

Glycogen storage disease type IX can be inherited via:[2][3]

  • X-linked recessive inheritance due to mutations at either PHKA1 or the PHKA2 (most common[4]) gene
  • Autosomal recessive could be the inheritance pattern for an affected individual when the genes PHKB or PHKG2 have a mutation.

Diagnosis

The diagnosis of glycogen storage disease IX consists of the following:[1][5]

  • Complete blood count
  • Urinalysis
  • Histological study of the liver (via biopsy)
  • Genetic testing
  • Physical exam

Types

There are two types of this inherited condition, glycogen storage disease IXa1 and glycogen storage disease IXa2 that affect the liver of an individual.[6] Mutations in PHKA2 have been seen in individuals with glycogen storage disease IXa2.{{medical citation needed|date=August 2016}}

Management

The management of Glycogen storage disease IX requires treatment of symptoms by frequent intake of complex carbohydrates and protein to combat the low blood sugar. A nutritionist will advise on suitable diets. Liver function is regularly monitored and problems managed as they arise. However, liver problems have only been successfully treated by a transplant. Routine checks of metabolism are needed to ensure blood sugar (glucose) and ketones are managed. Regular moderate exercise is beneficial, although over-vigorous exercise is to be avoided, especially in those with enlarged livers.[1][7]

See also

  • Glycogen storage disease

References

1. ^{{Cite book |url=https://www.ncbi.nlm.nih.gov/books/NBK55061/ |title=Phosphorylase Kinase Deficiency |last=Goldstein |first=Jennifer |last2=Austin |first2=Stephanie |last3=Kishnani |first3=Priya |last4=Bali |first4=Deeksha |date=1993 |publisher=University of Washington |location=Seattle (WA) |pmid=21634085 |editor-last1=Pagon |editor-first1=Roberta A |editor-last2=Adam |editor-first2=Margaret P |editor-last3=Ardinger |editor-first3=Holly H |editor-last4=Wallace |editor-first4=Stephanie E |editor-last5=Amemiya |editor-first5=Ann |editor-last6=Bean |editor-first6=Lora JH |editor-last7=Bird |editor-first7=Thomas D |editor-last8=Fong |editor-first8=Chin-To |editor-last9=Mefford |editor-first9=Heather C }} update 2011
2. ^{{Cite web |url=https://ghr.nlm.nih.gov/condition/glycogen-storage-disease-type-ix#inheritance |title=Glycogen storage disease type IX |website=Genetics Home Reference |access-date=2016-08-06}}
3. ^{{Cite web |url=http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=370 |title=Glycogen storage disease due to phosphorylase kinase deficiency|website=Orphanet |access-date=2016-08-06}}
4. ^{{cite book |last1=Bernstein |first1=Laurie E |last2=Rohr |first2=Fran |last3=Helm |first3=Joanna R |title=Nutrition Management of Inherited Metabolic Diseases: Lessons from Metabolic University |publisher=Springer |isbn=9783319146218 |page=303 |url=https://books.google.co.uk/books?id=q1LMCQAAQBAJ&pg=PA303 |accessdate=6 August 2016 |date=2015-06-03 }}
5. ^{{cite web |title=Glycogen Storage Disorders. GSD information and treatment |url=http://patient.info/doctor/glycogen-storage-disorders-pro |date=21 August 2014 |last=Tidy |first=Colin |publisher=Patient Platform |accessdate=6 August 2016}}
6. ^{{Cite web |url=http://www.omim.org/entry/306000|title=Glycogen storage disease IX |website=OMIM |publisher=Johns Hopkins University |access-date=2016-08-06}}
7. ^{{cite book |last1=Fernandes |first1=John |last2=Saudubray |first2=Jean-Marie |last3=van den Berghe |first3=Georges |title=Inborn Metabolic Diseases: Diagnosis and Treatment |publisher=Springer Science & Business Media |isbn=9783662031476 |page=80 |url=https://books.google.co.uk/books?id=97zoCAAAQBAJ&pg=PA81 |accessdate=6 August 2016|date=2013-03-14 }}

Further reading

  • {{cite journal|last1=Johnson|first1=Abiodun O.|last2=Goldstein|first2=Jennifer L.|last3=Bali|first3=Deeksha|title=Glycogen Storage Disease Type IX|journal=Journal of Pediatric Gastroenterology and Nutrition|date=July 2012|volume=55|issue=1|pages=90–92|doi=10.1097/MPG.0b013e31823276ea|pmid=21857251}}
  • {{cite journal|last1=Özen|first1=Hasan|title=Glycogen storage diseases: New perspectives|journal=World Journal of Gastroenterology|date=14 May 2007|volume=13|issue=18|pages=2541–2553|doi=10.3748/wjg.v13.i18.2541|pmc=4146814|issn=1007-9327|pmid=17552001}}
  • {{cite journal|last1=Albash|first1=Buthainah|last2=Imtiaz|first2=Faiqa|last3=Al-Zaidan|first3=Hamad|last4=Al-Manea|first4=Hadeel|last5=Banemai|first5=Mohammed|last6=Allam|first6=R.|last7=Al-Suheel|first7=Ali|last8=Al-Owain|first8=Mohammed|title=Novel PHKG2 mutation causing GSD IX with prominent liver disease: report of three cases and review of literature|journal=European Journal of Pediatrics|volume=173|issue=5|pages=647–653|doi=10.1007/s00431-013-2223-0|issn=1432-1076|pmid=24326380|year=2014}}
  • {{cite book|last1=Stoler|first1=edited by Raymond R. Tubbs, Mark H.|last2=Stoler|first2=Mark H.|title=Cell and tissue based molecular pathology|date=2009|publisher=Churchill Livingstone/Elsevier|location=Philadelphia|isbn=978-1437719482|edition=1st|url=https://books.google.com/?id=78Zeu0jmeYcC&pg=PA290&dq=Glycogen+storage+disease+type+IX#v=onepage&q=Glycogen%20storage%20disease%20type%20IX&f=false|accessdate=6 December 2017|language=en}}

External links

  • {{Commonscatinline}}
{{Medical resources
| DiseasesDB =
| ICD10 = {{ICD10|E|74|09}}
| ICD9 =
| ICDO =
| OMIM = 306000
| MedlinePlus =
| eMedicineSubj =
| eMedicineTopic =
| GeneReviewsNBK = 55061
| GeneReviewsName= Phosphorylase Kinase Deficiency
| MeshID =
}}{{Medicine}}{{Carbohydrate metabolic pathology}}

1 : Genetic diseases and disorders

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