Clinical and biochemical findings before and after portacaval shunt in a girl with type Ib glycogen storage disease

A girl presented with an important growth retardation, hepatomegaly, fasting hypoglycemia, lactic acidosis, increased serum cholesterol, triglycerides and uric acid, and increased liver glycogen (7.5%). There was no rise in blood glucose after IV galactose or fructose, but glucagon gave a delayed re...

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Veröffentlicht in:Pediatric research 1981-01, Vol.15 (1), p.58-61
Hauptverfasser: Corbeel, L, Hue, L, Lederer, B, De Barsy, T, Van den Berghe, G, Devlieger, H, Jaeken, J, Bracke, P, Eeckels, R
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container_end_page 61
container_issue 1
container_start_page 58
container_title Pediatric research
container_volume 15
creator Corbeel, L
Hue, L
Lederer, B
De Barsy, T
Van den Berghe, G
Devlieger, H
Jaeken, J
Bracke, P
Eeckels, R
description A girl presented with an important growth retardation, hepatomegaly, fasting hypoglycemia, lactic acidosis, increased serum cholesterol, triglycerides and uric acid, and increased liver glycogen (7.5%). There was no rise in blood glucose after IV galactose or fructose, but glucagon gave a delayed response. Type Ib glycogen storage disease was suggested by the low normal activity of glucose-6-phosphatase (G-6-Pase) which reached 1.8 units/g (normal, 2 to 10 units/g) and the normal activity of other glycogenolytic enzymes, measured in homogenates prepared in H2O (mean +/- S.E. in control subjects: 59% +/- 7; in type Ia GSD: 92% +/- 3). The activity of G-6-Pase measured as described above increased to 3.8 units/g of liver 1 year after PCS and 7.85 units/g of liver after 3 years. At that time, a simultaneous assay of the enzyme in a fresh, previously not frozen liver biopsy, homogenized in 0.25 M sucrose, revealed only about 29% of the activity of the same sample prepared in H2O (mean +/- S.E. in three controls: 95.8% +/- 8.9.
doi_str_mv 10.1203/00006450-198101000-00014
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source MEDLINE; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection; Journals@Ovid Complete
subjects Adolescent
Female
Glucose-6-Phosphatase - metabolism
Glycogen Storage Disease Type I - diagnosis
Glycogen Storage Disease Type I - enzymology
Glycogen Storage Disease Type I - surgery
Humans
Liver - enzymology
Portacaval Shunt, Surgical
title Clinical and biochemical findings before and after portacaval shunt in a girl with type Ib glycogen storage disease
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