J Korean Acad Rehabil Med.  1997 Dec;21(6):1224-1230.

Glycogen Storage Disease Type II: A Case Report

Affiliations
  • 1Department of Rehabilitation Medicine, The Catholic University of Korea School of Medicine, Korea.
  • 2Department of Pathology, The Catholic University of Korea School of Medicine, Korea.

Abstract

Glycogen Storage Disease Type II is caused by the deficiency of acid maltase resulting in lysosomal accumulation of glycogen. There are two major clinical syndromes, a severe generalized and invariable fatal disease of infancy, and a myopathy starting in juvenile or adult life. The clinical and laboratory findings of a patient with Glycogen Storage Disease Type II are presented. The patient, a 17-year-old male, experienced slowly progressive weakness of muscle of the pelvis shoulder girdles and trunk. Muscle biopsy showed vacuolar myopathy and electromyograph showed features of myopathy with fibrillation potentials, positive sharp waves, myotonic discharges, without clinical myotonia at rest, and polyphasic potentials on volition. Clinical features, histopathologic and electrophysiologic findings of this disease and differential diagnosis were reviewed.

Keyword

Glycogen storage disease type II; Acid maltase deficiency; Limb-girdle weakness; Vacuolar myopathy; Myotonic potentials

MeSH Terms

Adolescent
Adult
alpha-Glucosidases
Biopsy
Diagnosis, Differential
Glycogen Storage Disease Type II*
Glycogen Storage Disease*
Glycogen*
Humans
Male
Muscular Diseases
Myotonia
Pelvis
Shoulder
Volition
Glycogen
alpha-Glucosidases
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