What are Glycogen Storage Diseases?

Glycogen Storage Diseases
31-year-old man with known glycogen storage disease Type-1a. Post-biopsy histopathology of suspicious lesion seen on imaging. There is lack of portal tracts in all fragments. (a) In low-power magnification (hematoxylin and eosin stain), there is moderate steatosis (thin arrows) with many ballooned cells (thick arrow), some containing Mallory–Denk bodies (blue arrow). (b) In low-power magnification (hematoxylin and eosin stain), there are increased unpaired arteries (arrows). (c) In low-power magnification, there is focal Glypican-3 staining of the tumor cells. (d) In higher magnification, a reticulin stain shows focal loss of the reticulin framework (arrow). Malignant Transformation of Hepatic Adenoma in Glycogen Storage Disease Type-1a: Report of an Exceptional Case Diagnosed on Surveillance Imaging. Baheti AD, Yeh MM, O'Malley R, Lalwani N - Journal of clinical imaging science (2015). Not Altered. CC.

Glycogen storage diseases are group of diseases resulting in abnormal glycogen metabolism and an accumulation of glycogen within cells.

Examples of glycogen storage disease include:

Types I, II, III, IV, and V.

TypesAffected tissueEnzyme defectClinical featuresTissue needed for diagnosis*Outcome
Von Gierke disease (type I)Liver, intestine, kidneyGlucose-6-phosphataseHepatomegaly, hypoglycemia, stunted growth, obesity, hypotoniaLiverIf patient survive initial hypoglycemia, prognosis is good; hyperuricemia is a late complication
Pompe disease (type II)Liver, muscle, heartLysosomal acid α-1,4-glucosidase with α-1,6-glucosidase activityCardiomegaly, hypertrophic cardiomyopathy, hypotonia, exercise intolerance, and systemic findings.Leukocytes, liver, muscleDeath in first 6 months; juvenile and adult variants seen
Forbes disease (type III)Liver, muscle (abnormal glycogen structure)Amylo-1, 6-dlucosidaseHepatomegaly, hypoglycemia, stunted growth, obesity, hypotoniaLeukocytes, liver, muscleGood prognosis
Anderson disease (type IV)Liver, (abnormal glycogen structure)1,4-α-glucan branching enzymeFailure to thrive, hepatomegaly, cirrhosis and its complicationsLeukocytes, liver, muscleDeath in first 3 years
McArdle disease (type V)Muscle onlyPhosphorylaseMuscle cramps and myoglobinuria after exercise (in adults)MuscleNormal lifespan; exercise must be avoided