Table 1.
ID | Sex | Age at diagnosis in months | Age at MRA in years | Genotype |
BMI at MRA | Diet at MRAa | Liver Disease |
Muscle Disease |
Cardiac Disease |
|||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Variant 1 | Variant 2 | Hypoglycemia | Cirrhosis | HCC | Decompensated liver disease | LT | Muscle weakness | Assistive device | LVH | CM | ||||||
GSD IIIa | ||||||||||||||||
1 | F | 9 | 18.6 | c. 2309-1G > A | c.4260-12A > G | 37.8 | HP + UCCS | Yes | No | No | No | No | Generalized | No | No | No |
18b | F | 4 | 18.7 | c.2681 + 1G > T | c.2681 + 1G > T | 23.0 | HP + UCCS | No | No | No | No | No | LL & muscles of the hand | No | Yes | No |
41 | F | 17 | 20.1 | c.4543 T > C p.Cys1515Arg | c.4543 T > C p.Cys1515Arg | 25.7 | None | No | No | No | No | No | Normal | No | No | No |
2 | F | 6 | 20.3 | NP | NP | 27.3 | HP + UCCS | No | Yes | No | No | No | NA | No | Yes | No |
40 | M | 11 | 21.5 | c.4365del p.Ile1455fs | c.3964del p.Val1322fs | 52.3 | UCCS | Yes | Yes | No | Yes | No | NA | No | Yes | Yes |
3 | F | 8 | 21.7 | c.2309-1G > A | c.4260-12A > G | 23.5 | HP + UCCS | Yes | No | No | No | No | LL & muscles of the hand | No | No | No |
19b | F | 4 | 22.4 | c.2681 + 1G > T | c.2681 + 1G > T | 26.5 | HP + UCCS | No | No | No | No | No | Mild hypothenar hypotrophy | No | Yes | No |
24 | F | 24 | 23.7 | c.118C > T p.Gln40Ter | c.2309-1G > A | 24.9 | None | No | Yes | No | Yes | Yes | Generalized | No | No | No |
21 | F | 6 | 25.4 | c.4529dup p.Tyr1510Ter | c.2309-1G > A | 24.5 | HP | Yes | Bridging fibrosis | No | No | No | LL & muscles of the hands. | No | No | No |
42 | F | 12 | 26.8 | c.3014del p.Cys1005fs | c.4543 T > C p.Cys1515Arg | 19.1 | HP | No | NA | NA | No | No | Generalized | No | Yes | Yes |
49 | F | 16 | 30.2 | c.4260-12A > G | NAd | 20.1 | HP + UCCS | No | No | No | No | No | Generalized | Ramp | No | No |
25 | F | 8 | 36.0 | c.3965del p.Val1322fs | c.3965del p.Val1322fs | 32.5 | UCCS | Yes | No | No | No | No | Generalized | No | No | No |
32 | F | 6 | 41.0 | c.410_413del p.Leu137fs | c.2039G > T p.Trp680Ter | 23.9 | HP | Yes | No | No | No | No | LL & small muscles of the hands | No | No | No |
46 | M | 24 | 45.2 | NP | NP | 33.8 | HP | No | No | No | No | No | Generalized | No | No | No |
8 | F | 6 | 46.4 | c.2590C > T p.Arg864Ter | c.4529dup p.Tyr1510Ter | 20.1 | HP + UCCS | Yes | Yes | No | No | No | Generalized | Rotator | No | No |
39 | M | 12 | 55.0 | c.1963G > A p.Gly655Arg | c.3701-17C > A | 21.6 | None | Yes | Yes | Yes | Yes | No | Generalized | Wheelchair | No | No |
13c | M | 12 years | 57.6 | c.100C > T p.Arg34Ter | c.2590C > T p.Arg864Ter | 34.8 | HP | No | Yes | No | Yes | Yes | Generalized | Cane | Yes | No |
48c | M | NA | 58.5 | c.100C > T p.Arg34Ter | c.2590C > T p.Arg864Ter | 26.3 | NA | No | NA | NA | NA | NA | NA | NA | Yes | No |
47c | M | NA | 61.5 | c.100C > T p.Arg34Ter | c.2590C > T p.Arg864Ter | 33.8 | HP | No | NA | NA | NA | NA | Generalized | NA | Yes | No |
29 | F | 18 | 64.9 | c.2155C > T p.Gln719Ter | c.3980G > A p.Trp1327Ter | 27.9 | HP | Yes | Yes | Yes | Yes | No | Generalized | Wheelchair | No | No |
22 | M | NA | 68.0 | c.1471_1482del p.Val491_Arg494del | c.4259 + 5G > A | 31.4 | HP | No | Yes | Yes | No | No | Generalized | Wheelchair | Yes | No |
GSD IIIb | ||||||||||||||||
20 | F | 12 | 19.4 | c.18_19del p.Gln6fs | c.757G > C p.Ala253Pro | 23.6 | HP + UCCS | No | No | No | No | No | NC | NC | No | No |
33 | M | 9 years | 42.2 | c.18-19del p.Gln6fs | c.2590C > T p.Arg864Ter | 32.1 | None | No | Yes | No | Yes | No | NC | NC | No | No |
38 | M | 24 | 48.3 | c.18-19del p.Gln6fs | c.2039G > A p.Trp680Ter | 43.4 | None | Yes | Yes | No | Yes | No | NC | NC | No | No |
11 | M | 18 | 60.6 | c.16C > T p.Gln6Ter | c.2039G > A p.Trp680Ter | 43.1 | HP | No | Yes | No | No | No | NC | NC | Yes, secondary to HTN | No |
Note: all gene variants are based on NM_000028.2.
Abbreviations: MRA: Most recent assessment, HCC: Hepatocellular carcinoma, LT: Liver transplantation, LVH: Left ventricular hypertrophy, CM: Cardiomyopathy, HP: High protein, UCCS: Uncooked cornstarch, LL: Lower limbs, NP: Genetic testing was not performed, NA: Data was not available, NC: Data was not collected.
A full detailed history of the dietary therapy over the entire duration of follow up was not available for this study.
Patients 18 and 19 are siblings.
Patients 13, 47, and 48 are siblings.
Second allele was not identified by genetic testing.