A case of glycogen storage disease type 1a mimicking familial chylomicronemia syndrome

Glycogen storage disease type 1a (GSD1a) is an autosomal recessively inherited inborn error of metabolism caused by a mutation in the G6PC gene, which encodes the catalytic subunit of glucose-6-phosphatase-α (G6Pase-α) enzyme. This enzyme plays a role in the final step of gluconeogenesis and glycoge...

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Main Authors: Olgac A, Okur İ, Biberoğlu G, Ezgü FS, Tümer L
Format: Article
Language:English
Published: Sciendo 2021-07-01
Series:Balkan Journal of Medical Genetics
Subjects:
Online Access:https://doi.org/10.2478/bjmg-2021-0013
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author Olgac A
Okur İ
Biberoğlu G
Ezgü FS
Tümer L
author_facet Olgac A
Okur İ
Biberoğlu G
Ezgü FS
Tümer L
author_sort Olgac A
collection DOAJ
description Glycogen storage disease type 1a (GSD1a) is an autosomal recessively inherited inborn error of metabolism caused by a mutation in the G6PC gene, which encodes the catalytic subunit of glucose-6-phosphatase-α (G6Pase-α) enzyme. This enzyme plays a role in the final step of gluconeogenesis and glycogenolysis. Patients carrying GSD1a show growth retardation, hypoglycemia, hepatomegaly, hepatic steatosis, hyperlipidemia, hyperuricemia and lactic acidemia. Long-term symptoms include gouty arthritis and uric acid stones, osteoporosis, renal failure, intestinal impairment, cirrhosis and hepatic adenomas, and eventually, hepatocellular carcinoma. Hyperlipidemia is the indicator of poor metabolic control in GSD1a. Patients with variable levels of triglycerides (TGs) have been reported in the literature. We present a case of GSD1a that presented with severe hypertriglyceridemia (HTG) mimicking familial chylomicronemia syndrome.
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spelling doaj.art-520bfc7158984610bff713d9df79e5b12023-09-02T16:10:18ZengSciendoBalkan Journal of Medical Genetics1311-01602021-07-0124110310610.2478/bjmg-2021-0013A case of glycogen storage disease type 1a mimicking familial chylomicronemia syndromeOlgac A0Okur İ1Biberoğlu G2Ezgü FS3Tümer L4Department of Pediatric Metabolism, Division of Pediatric Metabolism, University of Health Sciences, Dr. Sami Ulus Maternity and Child Health, Training and Research Hospital, Ankara, TurkeyDepartment of Pediatric Metabolism and Nutrition, Gazi University Hospital, Ankara, TurkeyDepartment of Pediatric Metabolism and Nutrition, Gazi University Hospital, Ankara, TurkeyDepartment of Pediatric Metabolism and Nutrition, Gazi University Hospital, Ankara, TurkeyDepartment of Pediatric Metabolism and Nutrition, Gazi University Hospital, Ankara, TurkeyGlycogen storage disease type 1a (GSD1a) is an autosomal recessively inherited inborn error of metabolism caused by a mutation in the G6PC gene, which encodes the catalytic subunit of glucose-6-phosphatase-α (G6Pase-α) enzyme. This enzyme plays a role in the final step of gluconeogenesis and glycogenolysis. Patients carrying GSD1a show growth retardation, hypoglycemia, hepatomegaly, hepatic steatosis, hyperlipidemia, hyperuricemia and lactic acidemia. Long-term symptoms include gouty arthritis and uric acid stones, osteoporosis, renal failure, intestinal impairment, cirrhosis and hepatic adenomas, and eventually, hepatocellular carcinoma. Hyperlipidemia is the indicator of poor metabolic control in GSD1a. Patients with variable levels of triglycerides (TGs) have been reported in the literature. We present a case of GSD1a that presented with severe hypertriglyceridemia (HTG) mimicking familial chylomicronemia syndrome.https://doi.org/10.2478/bjmg-2021-0013familial chylomicronemia syndrome (fcs)glycogen storage disease type 1a (gsd1a)hypertriglyceridemia (htg)pancreatitis
spellingShingle Olgac A
Okur İ
Biberoğlu G
Ezgü FS
Tümer L
A case of glycogen storage disease type 1a mimicking familial chylomicronemia syndrome
Balkan Journal of Medical Genetics
familial chylomicronemia syndrome (fcs)
glycogen storage disease type 1a (gsd1a)
hypertriglyceridemia (htg)
pancreatitis
title A case of glycogen storage disease type 1a mimicking familial chylomicronemia syndrome
title_full A case of glycogen storage disease type 1a mimicking familial chylomicronemia syndrome
title_fullStr A case of glycogen storage disease type 1a mimicking familial chylomicronemia syndrome
title_full_unstemmed A case of glycogen storage disease type 1a mimicking familial chylomicronemia syndrome
title_short A case of glycogen storage disease type 1a mimicking familial chylomicronemia syndrome
title_sort case of glycogen storage disease type 1a mimicking familial chylomicronemia syndrome
topic familial chylomicronemia syndrome (fcs)
glycogen storage disease type 1a (gsd1a)
hypertriglyceridemia (htg)
pancreatitis
url https://doi.org/10.2478/bjmg-2021-0013
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