A case of glycogen storage disease type Ⅰa with gout as the first manifestation / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences
; (6): 230-236, 2023.
Article
in En
| WPRIM
| ID: wpr-982039
Responsible library:
WPRO
ABSTRACT
A 24-year-old male was admitted due to recurrent redness, swelling, fever and pain in the ankle, frequently accompanied by hungry feeling. Dual energy CT scans showed multiple small gouty stones in the posterior edge of the bilateral calcaneus and in the space between the bilateral metatarsophalangeal joints. The laboratory examination results indicated hyperlipidemia, high lactate lipids, and low fasting blood glucose. Histopathology of liver biopsy showed significant glycogen accumulation. The results of gene sequencing revealed the compound heterozygous mutations of the G6PC gene c.248G>A (p.Arg83His) and c.238T>A (p.Phe80Ile) in the proband. The c.248G>A mutation was from mother and the c.238T>A mutation was from father. The diagnosis of glycogen storage disease type Ⅰa was confirmed. After giving a high starch diet and limiting monosaccharide intake, as well as receiving uric acid and blood lipids lowering therapy, the condition of the patient was gradually stabilized. After a one-year follow-up, there were no acute episodes of gout and a significant improvement in hungry feeling in the patient.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Glycogen Storage Disease Type I
/
Gout
/
Lipids
/
Mutation
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Journal of Zhejiang University. Medical sciences
Year:
2023
Document type:
Article