USMLE (Fach) / Biochemistry (Lektion)
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Glycogen storage diseases
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1. Von Gierke disease (type I)- Glucose-6-phosphatase deficiency- severe fasting hypoglycemia- ↑ glycogen in liver, ↑ blood lactate, ↑ triglycerides, ↑ uric acid
2. Pompe disease (type II)- Lysosomal α-glucosidase deficiency- Cardiomegaly, exercise intolerance
3. Cori disease (type III)- Debranching enzyme (α-1-6-glucosidase) deficiency - mild form of von Gierke- gluconeogenesis is intact
4. McArdle disease (type V)- skeletal muscle glycogen phosphorylase deficiency- blood glucose levels unaffected- muscle cramps, myoglobinuria (red urine)- second-wind phenomenon due to ↑ muscular blood flow
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