The clinical manifestations of glycogen storage disease type IV (GSD IV) discussed in this entry span a continuum of different subtypes with. GSD IV GLYCOGEN BRANCHING ENZYME DEFICIENCY GBE1 DEFICIENCY ANDERSEN DISEASE BRANCHER DEFICIENCY GLYCOGENOSIS IV. Spanish Synonyms of “enfermedad por almacenamiento de gluc√≥geno-tipo IV”: EAG tipo IV, enfermedad de Andersen, glucogenosis tipo IV.

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See Genetic Counseling for issues related to testing of at-risk relatives for genetic counseling purposes. They also may not show cardiac, skeletal muscle, or neurologic involvement.

The offspring of an individual with glycogen storage disease type IV are obligate heterozygotes carriers for a pathogenic variant in GBE1. CC ].


Sequence analysis detects variants that are benign, likely benign, of uncertain glcuogenosislikely pathogenic, or pathogenic. Milder forms have been reported with later-onset, marked by muscular weakness or cardiomyopathy and heart failure. Studies of the residual glycogen branching enzyme activity present in human skin fibroblasts from patients with type IV glycogen storage disease.

The disease then rapidly progresses to cirrhosis with portal hypertension and ascites, ultimately causing death in early childhood. A neonatal form of glycogen storage disease type IV.

Continuing lessons from glycogen storage diseases. APBD is typically the result of homozygous or compound heterozygous pathogenc missense variants Table 2. For all other comments, please send your remarks via contact us. Summary Clinical description Clinical presentation is extremely heterogeneous and involves the liver or the neuromuscular system.

Juvenile hereditary polyglucosan body disease with complete branching enzyme deficiency type IV glycogenosis. Children with the non-progressive hepatic subtype tend to present with hepatomegaly, liver dysfunction, myopathy, and hypotonia; however, they are likely to survive without progression of the liver disease and may not show cardiac, skeletal muscle, or neurologic involvement. For information on selection criteria, click here. Management and treatment There is no specific treatment.


Glycogen branching enzyme GBEa amino acid protein, catalyzes the transfer of alpha-1,4-linked glucosyl units from the outer end of a glycogen chain to an alpha-1,6 position on the same or a neighboring glycogen tpo. Electron glucogenodis may demonstrate fine fibrillary aggregates of flucogenosis amylopectin-like material within the iiv of hepatocytes.

Enzymatic assays showed deficient branching enzyme in liver, skeletal muscle, and skin fibroblasts. AMD represents a wide spectrum glucogenosis clinical presentations caused by an accumulation of glycogen in lysosomes: There were no signs of cirrhosis or liver failure.

Adult polyglucosan body disease: Li et al [] recently reported two unrelated infants with ic subtype of GSD IV who were also small for gestational age.

A mild juvenile variant of type IV glycogenosis. The material is in no way intended to replace professional medical care by a qualified specialist glucogenosis should not be used as a basis for diagnosis or treatment. Please consider making a donation now and again in the future.

Rev Endocr Metab Disord. Once the pathogenic variants have been identified in an affected family member, prenatal testing for a pregnancy at increased risk and preimplantation genetic diagnosis are possible. In both cases, pregnancy was complicated by polyhydramnios, reduced fetal movements, and fetal hydrops.

Renal protection using converting enzyme inhibitors must be started should microalbuminuria be detected. Isolation of human glycogen branching enzyme cDNAs by screening complementation in yeast. Mutations in the G6PC gene 17q21 cause a deficit of the catalytic subunit G6P-alpha restricted to expression in the liver, kidney and intestine type aand mutations in the SLC37A4 gene 11q23 cause a deficit of the ubiquitously glcuogenosis G6P transporter Glucofenosis glucogenosis G6P translocase type b.

The variable presentations of glycogen storage disease type IV: The diagnosis is based on biochemical findings from a liver biopsy, revealing an abnormal glycogen content, and on the evidence of enzymatic deficiency in the liver, muscle, erythrocytes, or fibroblasts, and in the trophoblast or cultured amniotic cells.

It is appropriate to offer genetic counseling including discussion of potential risks to offspring and reproductive options to young adults who are affectedare carriers, or are at risk of being carriers.



GeneReviews is a registered trademark of the University of Washington, Seattle. The hepatic subtypethe most common presentation of GSD IV, can be classified as progressive classic or non-progressive.

Liver enzymes are typically elevated in the hepatic subtypes. University of Washington, Seattle ; Autopsy showed hypertrophy of the left cardiac ventricle.

The most severe form starts before birth with decrease or absence of fetal movements, arthrogryposis, hypoplastic lungs, and perinatal death. Additional information Further information on this disease Classification s 5 Gene s 1 Clinical signs and symptoms Publications in PubMed Other website s Chronic, progressive myopathy, with dilated i in some.

Gestational age is expressed as menstrual weeks calculated either from the first day of the last normal menstrual period or by ultrasound measurements.

Two cases in adolescents from the same family Presse Med. Infants with the classic progressive hepatic subtype may appear normal at birth, but rapidly develop failure to thrive; hepatomegaly, liver dysfunction, and progressive liver cirrhosis; hypotonia; and cardiomyopathy.

A juvenile variant of glycogenosis IV Andersen disease. PMC ] [ PubMed: This is the first case to be reported in the Spanish literature of type III glycogen storage disease associated with hepatocellular carcinoma. Genetic counseling is the process of providing individuals and families with information on the nature, inheritance, and implications of genetic disorders to help them make informed medical and personal decisions.

Referral to tiop cardiologist for baseline echocardiogram and electrocardiogram ECG to assess for cardiomyopathy. Death usually occurs in the neonatal period frequently due to cardiopulmonary compromise.

Prevent nutritional deficiencies e. Nervous system involvement in type IV glycogenosis. GBE1 comprises 16 exons. Death usually occurs in the neonatal period.

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