Abstract
Glycogenosis type II (Pompe disease) is a lysosomal storage disease caused by deficiency of acid alpha-glucosidase (acid maltase). The disease is autosomal recessive inherited and is clinically and genetically heterogenous. The authors describe a 30-year-old woman affected by late-onset Pompe disease with vascular affection resembling atherosclerotic angiopathy of the elderly. Genetic analysis revealed two novel mutations (Ala237Val and Gly293Arg) in the acid alpha-glucosidase gene in this patient.
MeSH terms
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Adult
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Amino Acid Substitution
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Calcinosis / pathology
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Carotid Arteries / pathology
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Cerebral Arteries / pathology*
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Codon / genetics
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DNA Mutational Analysis
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Diagnosis, Differential
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Female
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Glucan 1,4-alpha-Glucosidase / deficiency
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Glucan 1,4-alpha-Glucosidase / genetics*
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Glycogen Storage Disease Type II / diagnosis
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Glycogen Storage Disease Type II / enzymology
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Glycogen Storage Disease Type II / genetics*
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Glycogen Storage Disease Type II / pathology
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Headache / etiology
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Humans
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Intracranial Arteriosclerosis / diagnosis
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Intracranial Arteriosclerosis / enzymology
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Intracranial Arteriosclerosis / genetics*
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Intracranial Arteriosclerosis / pathology
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Migraine Disorders / diagnosis
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Mutation, Missense*
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Paresthesia / etiology
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Phenotype
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Point Mutation*
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Risk Factors
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alpha-Glucosidases
Substances
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Codon
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alpha-Glucosidases
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Glucan 1,4-alpha-Glucosidase