Late-Onset Pompe Disease with Nemaline Bodies
Joint Authors
Giacanelli, Manlio
Frezza, E.
Rastelli, E.
Greco, G.
Terracciano, Chiara
Massa, Roberto
Source
Case Reports in Neurological Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-27
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Pompe disease is an autosomal recessive disorder characterized by deficiency of alpha-glucosidase, a lysosomal enzyme, which can lead to glycogen accumulation in skeletal muscle, heart, and nervous system.
Clinical presentation is highly variable, with infantile and late-onset (LOPED) forms.
Although muscle biopsy findings are rather stereotyped, atypical features have been described.
A 52-year-old man without a family history of muscle disorders presented with slowly progressing upper and lower limb girdle weakness and hyperCKemia.
At needle EMG, a diffuse neurogenic pattern was detected.
Muscle biopsy showed a selective type 1 fiber atrophy with vacuoles of various sizes, filled with PAS and acid phosphatase positive material, confirmed to be glycogen by electron microscopy (EM).
Many atrophic fibers contained foci of myofibrillar material recognized as nemaline bodies (NBs) at EM.
Low level of alpha-glucosidase activity in blood and molecular genetic testing confirmed the diagnosis of late-onset Pompe disease (LOPED).
Major causes of hereditary and acquired NB myopathy were ruled out.
In conclusion, NBs represent a novel histological finding in LOPED and characterize the atypical presentation of our case.
American Psychological Association (APA)
Frezza, E.& Terracciano, Chiara& Giacanelli, Manlio& Rastelli, E.& Greco, G.& Massa, Roberto. 2018. Late-Onset Pompe Disease with Nemaline Bodies. Case Reports in Neurological Medicine،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1145391
Modern Language Association (MLA)
Frezza, E.…[et al.]. Late-Onset Pompe Disease with Nemaline Bodies. Case Reports in Neurological Medicine No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1145391
American Medical Association (AMA)
Frezza, E.& Terracciano, Chiara& Giacanelli, Manlio& Rastelli, E.& Greco, G.& Massa, Roberto. Late-Onset Pompe Disease with Nemaline Bodies. Case Reports in Neurological Medicine. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1145391
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145391