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Myasthenia gravis in a patient affected by glycogen storage disease type Ib: A further manifestation of an increased risk for autoimmune disorders?

Myasthenia gravis in a patient affected by glycogen storage disease type Ib: A further manifestation of an increased risk for autoimmune disorders?

Authors :
Giancarlo Parenti
M. R. MonsurrĂ²
G. Andria
Alfonso Romano
Daniela Melis
F. Balivo
Gabriele Riccardi
Brunella Capaldo
R. Della Casa
Roberta Taurisano
Melis, Daniela
Balivo, F
DELLA CASA, Roberto
Romano, A
Taurisano, Roberta
Capaldo, Brunella
Riccardi, Gabriele
MonsurrĂ², Mr
Parenti, Giancarlo
Andria, Generoso
Melis, D
DELLA CASA, R
Taurisano, R
Capaldo, B
Riccardi, G
Monsurro', Maria Rosaria
Parenti, G
Andria, G.
Publication Year :
2008

Abstract

Glycogen storage disease type Ib (GSD Ib, OMIM 232220) is an inborn disorder of glucose metabolism, caused by mutations in the G6PT gene, encoding a glucose 6-phosphate transporter (G6PT). GSD Ib is mainly associated with fasting hypoglycaemia and hepatomegaly. Most GSD Ib patients also show neutropenia and neutrophil dysfunction and therefore are at risk of developing severe infections and inflammatory bowel disease (IBD). An increased risk for autoimmune disorders, such as thyroid autoimmunity and Crohn-like disease, has also been demonstrated, but no systematic study on the prevalence of autoimmune disorders in GSD Ib patients has ever been performed. We describe a 25-year-old patient affected by GSD Ib who developed 'seronegative' myasthenia gravis (MG), presenting with bilateral eyelid ptosis, diplopia, dysarthria, severe dysphagia, dyspnoea and fatigue. The repetitive stimulation of peripheral nerves test showed signs of exhaustion of neuromuscular transmission, particularly evident in the cranial area. Even in the absence of identifiable anti-acetylcholine receptor antibodies, seronegative MG is considered an autoimmune disorder and may be related to the disturbed immune function observed in GSD Ib patients.

Details

Language :
English
Database :
OpenAIRE
Accession number :
edsair.doi.dedup.....73f9690fa8f94a5a8b9b60464a252de3