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Pompe disease

Shown below are possible signs and symptoms of Pompe diseaseAbsence of a particular symptom does not rule out this disease.

Musculoskeletal
  • Progressive muscle weakness
  • Profound hypotonia
  • Macroglossia
  • Floppiness  in infantile-onset (“floppy baby”), head lag
  • Unsteady gait, toe walking
  • Abnormal spinal curvature, lower back pain
  • Scapular winging
  • Failure to meet developmental motor milestones (climbing stairs, exercise intolerance)
  • Fatigue
scapular winging
scapular winging 1
gowers manoeuvre
gowers manoeuvre
floppy baby
floppy baby
macroglossia
macroglossia
Other Symptoms
Pulmonary:
  • Respiratory insufficiency/failure
  • Frequent respiratory infections
  • Orthopnoea
  • Sleep apnoea
Patient with requirement for non-invasive ventilatory support
Patient with requirement for non-invasive ventilatory support
Cardiac:
  • Cardiomegaly (massive)
  • Left ventricular hypertrophy
cardiomegaly
cardiomegaly 2
Visceral/Gastrointestinal:
  • Difficult swallowing and chewing
  • Hepatomegaly
 
Other:
  • Morning headaches
  • Daytime somnolence
 

Do you recognise any of these symptoms in your patients?

Go to DIAGNOSIS to learn what to do if you suspect a patient of having a lysosomal storage disorder.

References:
1. Courtesy of Dr. Herman F.M. Busch
2. Courtesy of Dr. B. Byrne


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