Respiratory manifestations in late-onset Pompe disease: a case series conducted in Brazil

ABSTRACT Objective: To describe respiratory function in a series of patients with late-onset Pompe disease after the definitive diagnosis and before enzyme replacement therapy. Methods: This was a cross-sectional study involving patients with a definitive molecular diagnosis of late-onset Pompe...

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Main Authors: Bruna de Souza Sixel, Luanda Dias da Silva, Nicolette Celani Cavalcanti, Glória Maria Cardoso de Andrade Penque, Sandra Lisboa, Dafne Dain Gandelman Horovitz, Juan Clinton Llerena Jr
Format: Article
Language:English
Published: Sociedade Brasileira de Pneumologia e Tisiologia
Series:Jornal Brasileiro de Pneumologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000100054&lng=en&tlng=en
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author Bruna de Souza Sixel
Luanda Dias da Silva
Nicolette Celani Cavalcanti
Glória Maria Cardoso de Andrade Penque
Sandra Lisboa
Dafne Dain Gandelman Horovitz
Juan Clinton Llerena Jr
author_facet Bruna de Souza Sixel
Luanda Dias da Silva
Nicolette Celani Cavalcanti
Glória Maria Cardoso de Andrade Penque
Sandra Lisboa
Dafne Dain Gandelman Horovitz
Juan Clinton Llerena Jr
author_sort Bruna de Souza Sixel
collection DOAJ
description ABSTRACT Objective: To describe respiratory function in a series of patients with late-onset Pompe disease after the definitive diagnosis and before enzyme replacement therapy. Methods: This was a cross-sectional study involving patients with a definitive molecular diagnosis of late-onset Pompe disease. The data analyzed included age at symptom onset; age at definitive diagnosis; type of initial symptoms; time from symptom onset to diagnosis; FVC in the sitting and supine positions; six-minute walk distance; and locomotor ability. Analyses were carried out using frequencies, medians, minimum values, and maximum values. Results: Six patients were included in the study. The median age at symptom onset was 15 years (range, 13-50 years), and the median age at diagnosis was 39.5 years (range, 10-64 years). The median time from symptom onset to diagnosis was 8 years (range, 0-45 years). In all cases, the initial manifestation of the disease had been motor weakness. The median FVC in percentage of the predicted value (FVC%) in the sitting and supine positions was 71.0% (range, 22.9-104.6%) and 58.0% (range, 10.9-106.9%), respectively. The median ΔFVC% was 24.5% (range, −4.59 to 52.40%).The median six-minute walk distance was 391.7 m (range, 97-702 m) . Conclusions: In this case series, the time from symptom onset to diagnosis was long. Although respiratory signs or symptoms were not the initial manifestations of the disease, 66.7% of the patients showed reduced FVC% in the sitting and supine positions at diagnosis.
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spelling doaj.art-e1e57cff3e06466f9125bb6c95ff25372022-12-22T01:15:40ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-3756431545910.1590/s1806-37562015000000343S1806-37132017000100054Respiratory manifestations in late-onset Pompe disease: a case series conducted in BrazilBruna de Souza SixelLuanda Dias da SilvaNicolette Celani CavalcantiGlória Maria Cardoso de Andrade PenqueSandra LisboaDafne Dain Gandelman HorovitzJuan Clinton Llerena JrABSTRACT Objective: To describe respiratory function in a series of patients with late-onset Pompe disease after the definitive diagnosis and before enzyme replacement therapy. Methods: This was a cross-sectional study involving patients with a definitive molecular diagnosis of late-onset Pompe disease. The data analyzed included age at symptom onset; age at definitive diagnosis; type of initial symptoms; time from symptom onset to diagnosis; FVC in the sitting and supine positions; six-minute walk distance; and locomotor ability. Analyses were carried out using frequencies, medians, minimum values, and maximum values. Results: Six patients were included in the study. The median age at symptom onset was 15 years (range, 13-50 years), and the median age at diagnosis was 39.5 years (range, 10-64 years). The median time from symptom onset to diagnosis was 8 years (range, 0-45 years). In all cases, the initial manifestation of the disease had been motor weakness. The median FVC in percentage of the predicted value (FVC%) in the sitting and supine positions was 71.0% (range, 22.9-104.6%) and 58.0% (range, 10.9-106.9%), respectively. The median ΔFVC% was 24.5% (range, −4.59 to 52.40%).The median six-minute walk distance was 391.7 m (range, 97-702 m) . Conclusions: In this case series, the time from symptom onset to diagnosis was long. Although respiratory signs or symptoms were not the initial manifestations of the disease, 66.7% of the patients showed reduced FVC% in the sitting and supine positions at diagnosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000100054&lng=en&tlng=enDoença de depósito de glicogênio tipo IITestes de função respiratóriaMúsculos respiratórios/patologia
spellingShingle Bruna de Souza Sixel
Luanda Dias da Silva
Nicolette Celani Cavalcanti
Glória Maria Cardoso de Andrade Penque
Sandra Lisboa
Dafne Dain Gandelman Horovitz
Juan Clinton Llerena Jr
Respiratory manifestations in late-onset Pompe disease: a case series conducted in Brazil
Jornal Brasileiro de Pneumologia
Doença de depósito de glicogênio tipo II
Testes de função respiratória
Músculos respiratórios/patologia
title Respiratory manifestations in late-onset Pompe disease: a case series conducted in Brazil
title_full Respiratory manifestations in late-onset Pompe disease: a case series conducted in Brazil
title_fullStr Respiratory manifestations in late-onset Pompe disease: a case series conducted in Brazil
title_full_unstemmed Respiratory manifestations in late-onset Pompe disease: a case series conducted in Brazil
title_short Respiratory manifestations in late-onset Pompe disease: a case series conducted in Brazil
title_sort respiratory manifestations in late onset pompe disease a case series conducted in brazil
topic Doença de depósito de glicogênio tipo II
Testes de função respiratória
Músculos respiratórios/patologia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000100054&lng=en&tlng=en
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