The frequency of late-onset Pompe disease in pediatric patients with limb-girdle muscle weakness and nonspecific hyperCKemia: A multicenter study

Ünver O., Hacıfazlıoğlu N., Karatoprak E., Güneş A., Sağer G., Kutlubay B., ...Daha Fazla

NEUROMUSCULAR DISORDERS, cilt.26, sa.11, ss.796-800, 2016 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 11
  • Basım Tarihi: 2016
  • Doi Numarası: 10.1016/j.nmd.2016.09.001
  • Dergi Adı: NEUROMUSCULAR DISORDERS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.796-800
  • Anahtar Kelimeler: Late-onset Pompe disease, Limb-girdle muscle weakness, HyperCKemia, Dried blood spots, Enzyme replacement therapy, ENZYME REPLACEMENT THERAPY, ACID MALTASE DEFICIENCY, NATURAL COURSE, FOLLOW-UP, ADULT, MANIFESTATION, ALPHA, BLOOD
  • Kocaeli Üniversitesi Adresli: Evet

Özet

The aim of this multicenter study was to screen for late-onset Pompe disease in high-risk children with limb-girdle muscle weakness and nonspecific hyperCKemia using the dried blood spot (DBS) test. Seventy-two children from four pediatric neurology departments in Turkey were enrolled in the study: 37 with limb-girdle muscle weakness and 35 with nonspecific hyperCKemia. Acid alpha-glucosidase (GAA) activity Was measured on DBS by tandem mass spectrometry. Six patients tested positively for Pompe disease. In three patients, one with the limb-girdle muscle weakness and two with nonspecific hyperCKemia, this was confirmed by genetic analysis. The overall frequency of late-onset Pompe disease in the study population was 4.2%. The c.1784C>T mutation found in one patient is a new mutation whereas the c.1655T>C mutation detected in the other two patients is not novel. In conclusion, Pompe disease should be suspected in patients with limb-girdle muscle weakness and nonspecific hyperCKemia. The DBS test is a safe and reliable method of diagnosis but must be confirmed by genetic analysis. In patients with a positive DBS test and negative genetic analysis, tissue assay of GAA should be considered. (C) 2016 Published by Elsevier B.V.