期刊
ITALIAN JOURNAL OF PEDIATRICS
卷 48, 期 1, 页码 -出版社
BMC
DOI: 10.1186/s13052-022-01228-3
关键词
Glycogen Storage Disease type XII; Aldolase A Deficiency; ALDOA Deficiency; 24 GSD XII; Ketogenic Diet
类别
This case report describes a new phenotype of glycogen storage disease type XII in a 14-year-old boy, who presented with seizures and rhabdomyolysis. In addition to antiepileptic treatment, a new therapeutic approach based on ketogenic diet was proposed and well tolerated by the patient.
Background Glycogen storage disease type XII is a rare metabolic disease resulting from Aldolase A deficiency that causes muscle glycogen accumulation, with crisis of rhabdomyolysis and hemolytic anemia. In the very few cases described, rhabdomyolysis crises are caused by fever and/or exercise and can accompany acute hemolytic anemia. Although currently there is no therapy available for this disease, the guidelines for the management of other forms of glycogen storage diseases recommend a nutritional therapy in order to avoid hypoglycemia or prevent exercise-induced rhabdomyolysis. Case presentation In this case report we describe a new phenotype of the disease in a 14-year-old boy, characterized by seizures and rhabdomyolysis. Beside an antiepileptic treatment, we propose a new therapeutic approach based on ketogenic diet in order to supply an energetic substrate for skeletal muscle and neurons. Conclusions The anti-epileptic therapy and the dietetic approach were well tolerated by the patient who showed good compliance. This led to a deceleration of the disease with no other acute episodes of seizures and rhabdomyolysis, without any side effects observed.
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