Glycogen storage disease: report of two cases in the city of Cartagena

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Main Author: CIRO C. ALVEAR
Format: Artículo científico
Language:en
Published: Universidad del Valle 2010
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author CIRO C. ALVEAR
author_facet CIRO C. ALVEAR
contents Glycogen storage disease: report of two cases in the city of Cartagena CIRO C. ALVEAR MIRIAM BARBOZA ZEUDY K. RODRÍGUEZ Medicina diet glucose phosphatase Hepatomegaly nephromegaly Objective: to report two cases of children with type Ia glycogen storage disease compatible with Von Gierke disease, suspected in the presence of findings such as hepatomegaly, nephromegaly, hypoglycemia, and stunted growth. Method: Presentation of the clinical records of two patients referred to the diagnostic unit of innate errors of metabolism of the Faculty of Medicine in Universidad de Cartagena. Results: The first case reported was a child who debuted with acute cyanosis without widespread neurological deficit when he was eleven months old, followed by hepatomegaly at two years of age. At 4 years of age, symptoms reappeared with similar characteristics: hypoglycemia, growth failure, and persistent hepatomegaly detected on physical examination. With the precedent that an older brother that presented similar symptoms was suspected of glycogen storage disease, a biopsy was performed and confirmed liver glycogen storage with normal structure. The patient¿s treatment was modification of dietary habits (small, frequent feedings during the day) and cornstarch. The second event was the older brother who consulted for the first time when he was 18 months old due to prolonged diarrhea. Hepatomegaly was documented by ultrasound study without kidney compromise and no hypoglycemia was found. Recommendations: It is necessary for the entire health team to be trained to detect rare diseases such as glycogen storage disease. If they make early diagnoses and establish support groups for interdisciplinary management of such diseases, they may change the prognosis and quality of life of these children. 2010 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28312737010 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.1 Vol.41
format Artículo científico
id redalyc_28312737010
institution Redalyc
language en
publishDate 2010
publisher Universidad del Valle
spellingShingle Glycogen storage disease: report of two cases in the city of Cartagena
CIRO C. ALVEAR
Medicina
diet
glucose
phosphatase
Hepatomegaly
nephromegaly
Glycogen storage disease: report of two cases in the city of Cartagena CIRO C. ALVEAR MIRIAM BARBOZA ZEUDY K. RODRÍGUEZ Medicina diet glucose phosphatase Hepatomegaly nephromegaly Objective: to report two cases of children with type Ia glycogen storage disease compatible with Von Gierke disease, suspected in the presence of findings such as hepatomegaly, nephromegaly, hypoglycemia, and stunted growth. Method: Presentation of the clinical records of two patients referred to the diagnostic unit of innate errors of metabolism of the Faculty of Medicine in Universidad de Cartagena. Results: The first case reported was a child who debuted with acute cyanosis without widespread neurological deficit when he was eleven months old, followed by hepatomegaly at two years of age. At 4 years of age, symptoms reappeared with similar characteristics: hypoglycemia, growth failure, and persistent hepatomegaly detected on physical examination. With the precedent that an older brother that presented similar symptoms was suspected of glycogen storage disease, a biopsy was performed and confirmed liver glycogen storage with normal structure. The patient¿s treatment was modification of dietary habits (small, frequent feedings during the day) and cornstarch. The second event was the older brother who consulted for the first time when he was 18 months old due to prolonged diarrhea. Hepatomegaly was documented by ultrasound study without kidney compromise and no hypoglycemia was found. Recommendations: It is necessary for the entire health team to be trained to detect rare diseases such as glycogen storage disease. If they make early diagnoses and establish support groups for interdisciplinary management of such diseases, they may change the prognosis and quality of life of these children. 2010 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28312737010 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.1 Vol.41
title Glycogen storage disease: report of two cases in the city of Cartagena
topic Medicina
diet
glucose
phosphatase
Hepatomegaly
nephromegaly
url https://www.redalyc.org/articulo.oa?id=28312737010