Nicolas Mathilde, Giret Chloé, Pellieux Sybille, Toutain Annick, Bergemer-Fouquet Anne-Marie, Laforêt Pascal, Bouilleau Loic, Maillot François
CHRU de Tours, Service de Médecine Interne, Centre de Référence des Maladies Héréditaires du Métabolisme Tours, France.
Université de Tours, France.
Mol Genet Metab Rep. 2025 Feb 1;42:101197. doi: 10.1016/j.ymgmr.2025.101197. eCollection 2025 Mar.
Glycogen storage disease type 5 (GSD) is an autosomal recessive metabolic myopathy caused by pathogenic variants in the gene. We report the case of a patient with typical exercise intolerance with a "second wind" phenomenon, associated with camptocormia which is not commonly recognized as a feature of the disease. Molecular analysis of the gene the common c.148C > T [p.(Arg50*)] variant and a missense variant in exon 12, c.1471C > T [p.(Arg491Cys)]. GSD 5 and Pompe disease are both glycogen storage diseases in which axial involvement has been described. Although probably underestimated, severe axial myopathy has been rarely reported in GSD 5. We suggest that the long-lasting symptoms associated with camptocormia should be considered as possible initial features of GSD 5.
糖原贮积病5型(GSD)是一种常染色体隐性代谢性肌病,由该基因的致病性变异引起。我们报告了一例具有典型运动不耐受伴“第二次呼吸”现象的患者病例,该患者伴有脊柱前凸,而脊柱前凸通常不被认为是该疾病的特征。对该基因进行分子分析,发现了常见的c.148C>T [p.(Arg50*)]变异和外显子12中的一个错义变异,即c.1471C>T [p.(Arg491Cys)]。GSD 5型和庞贝病都是已描述有轴性受累的糖原贮积病。虽然可能被低估,但严重的轴性肌病在GSD 5型中很少有报道。我们建议,与脊柱前凸相关的长期症状应被视为GSD 5型可能的初始特征。