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6 Cards in this Set

  • Front
  • Back
Glycogen Storage Disease
Type I
von Gierke's
-----------------
Deficient Enzyme:
Glucose-6-phosphatase

Clinical Features:
severe hypoglycemia
hepatomegaly
hyperlipidemia
short stature

no structural change to glycogen
Glycogen Storage Disease
Type II
Pompe's
-----------------
Deficient Enzyme:
Lysosomal alpha1,4-glucosidase

Clinical Features:
cardiomegaly
muscle weakness
death by 2y

Glycogen-like material in inclusion bodies

no structural change to glycogen
Glycogen Storage Disease
Type III
Cori's
-----------------
Deficient Enzyme:
Glycogen DeBranching enzyme

Clinical Features:
Mild hypoglycemia
liver enlargement

Short outer branches
Single glucose residue at outer branch (alpha 1,6)
Glycogen Storage Disease
Type IV
Andersen's (amylopectinosis)
-----------------
Deficient Enzyme:
Branching enzyme

Clinical Features:
infantile hypotonia
cirrhosis
death by 2y

very few branches, esp periphery
Glycogen Storage Disease
Type V
McArdle's
-----------------
Deficient Enzyme:
Muscle Glycogen Phosphorlyase

Clinical Features:
Muscle weakness on exercise
(NO hepatomegaly, hypoglycemia)

Normal structure
Glycogen Storage Disease
Type VI
Hers
-----------------
Deficient Enzyme:
Hepatic Glycogen Phosphorylase

Clinical Features:
Mild fasting hypoglycemia
hepatomegaly <==
cirrhosis

Normal Structure