A deficiência de miofosforilase (doença de McArdle), ou doença de armazenamento de glicogênio tipo 5 (GSD5), é uma forma grave de doença de armazenamento de glicogênio caracterizada por intolerância ao exercício.
Introdução
O que você precisa saber de cara
A deficiência de miofosforilase (doença de McArdle), ou doença de armazenamento de glicogênio tipo 5 (GSD5), é uma forma grave de doença de armazenamento de glicogênio caracterizada por intolerância ao exercício.
Tem tratamento?
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
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Preparando trilha educativa...
Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 16 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 34 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
Triagem neonatal (Teste do Pezinho)
A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.
Allosteric enzyme that catalyzes the rate-limiting step in glycogen catabolism, the phosphorolytic cleavage of glycogen to produce glucose-1-phosphate, and plays a central role in maintaining cellular and organismal glucose homeostasis
Glycogen storage disease 5
A metabolic disorder resulting in myopathy characterized by exercise intolerance, cramps, muscle weakness and recurrent myoglobinuria.
Medicamentos e terapias
Mecanismo: Succinate semialdehyde dehydrogenase inhibitor
Mecanismo: Succinate semialdehyde dehydrogenase inhibitor
Variantes genéticas (ClinVar)
407 variantes patogênicas registradas no ClinVar.
Vias biológicas (Reactome)
1 via biológica associada aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Doença de armazenamento de glicogênio devida a deficiência de glicogenofosforilase muscular
Centros de Referência SUS
21 centros habilitados pelo SUS para Doença de armazenamento de glicogênio devida a deficiência de glicogenofosforilase muscular
Centros para Doença de armazenamento de glicogênio devida a deficiência de glicogenofosforilase muscular
Detalhes dos centros
Hospital Universitário Prof. Edgard Santos (HUPES)
R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808
Serviço de Referência
Hospital de Apoio de Brasília (HAB)
AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456
Serviço de Referência
Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)
Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207
Serviço de Referência
Hospital das Clínicas da UFG
Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424
Serviço de Referência
Hospital das Clínicas da UFMG
Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167
Serviço de Referência
NUPAD / Faculdade de Medicina UFMG
Av. Prof. Alfredo Balena, 189 - 5 andar - Centro, Belo Horizonte - MG, 30130-100 · CNES 2183226
Serviço de Referência
Hospital Universitário João de Barros Barreto
R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878
Serviço de Referência
Hospital de Clínicas da Universidade Federal de Pernambuco
Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife - PE, 50670-901 · CNES 2561492
Atenção Especializada
Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647
Serviço de Referência
Hospital de Clínicas da UFPR
R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980
Serviço de Referência
Hospital Universitário Pedro Ernesto (HUPE-UERJ)
Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221
Serviço de Referência
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)
Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988
Serviço de Referência
Hospital Universitário Onofre Lopes (HUOL)
Av. Nilo Peçanha, 620 - Petrópolis, Natal - RN, 59012-300 · CNES 2408570
Atenção Especializada
Hospital São Lucas da PUCRS
Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928
Serviço de Referência
Hospital de Clínicas de Porto Alegre (HCPA)
Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601
Serviço de Referência
Hospital Universitário da UFSC (HU-UFSC)
R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356
Serviço de Referência
Hospital das Clínicas da FMUSP
R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485
Serviço de Referência
Hospital de Clínicas da UNICAMP
R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223
Serviço de Referência
Hospital de Clínicas de Ribeirão Preto (HCRP-USP)
R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187
Serviço de Referência
Instituto da Criança e do Adolescente (ICr-HCFMUSP)
Av. Dr. Enéas Carvalho de Aguiar, 647 - Cerqueira César, São Paulo - SP, 05403-000 · CNES 2081695
Serviço de Referência
UNIFESP / Hospital São Paulo
R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689
Serviço de Referência
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
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Publicações mais relevantes
The Impact of Muscle Fatigue on McArdle Disease: A Case Report.
McArdle disease (McA) is a rare metabolic disorder of autosomal recessive inheritance caused by pathogenic variants in the PYGM gene, which lead to a deficiency of the myophosphorylase enzyme. This enzymatic defect impairs muscle glycogenolysis, typically resulting in exercise intolerance, premature fatigue, and exertional cramps triggered by anaerobic or high-intensity physical activity starting in childhood or adolescence. However, the diagnosis is frequently delayed due to the heterogeneous and non-specific presentation of these symptoms. The authors report a case of a 61-year-old woman with a lifelong history of exercise intolerance and disproportionate muscle fatigue that restricted her physical activity since her youth. She presented with persistent, idiopathic elevations of creatine kinase (CK) over several years. The patient had no history of myoglobinuria and showed preserved renal function and no evidence of acute rhabdomyolysis, despite marked hyperCKemia. Cardiac involvement was also excluded. After excluding more common secondary causes of hyperCKemia, such as statin-induced myopathy and inflammatory conditions, the persistence of marked hyperCKemia and specific exercise-induced symptoms suggested a metabolic myopathy, such as McArdle disease. Molecular analysis was performed, identifying the homozygous pathogenic variant c.280C>T (p.Arg94Trp) in the PYGM gene and confirming the diagnosis of McArdle disease.
Hypercholesterolemia Successfully Treated With Two Different PCSK9 Inhibitors in a Patient With Glycogen Storage Disease IXd: Phosphorylase Kinase Deficiency.
This case report describes a novel use of proprotein convertase subtilisin-kexin type 9 (PCSK9) inhibitors in a patient whose glycogen storage disease (GSD) was unmasked by statin therapy. Evidence-based guidelines for the management of hyperlipidemia in patients with concurrent neuromuscular disorders (NMD) remain limited. We report the case of a 46-year-old man with hyperlipidemia, treated with simvastatin, who presented with 2 days of thigh pain without weakness or dark urine. He was diagnosed with statin-associated muscle symptoms. On further interview, the patient recalled experiencing thigh muscle soreness decades earlier while in the military, at which time his creatine phosphokinase (CPK) ranged between 1,200 and 3,000 U/L. He admitted not disclosing this history or a prior muscle biopsy. Muscle biopsy and electromyography/nerve conduction velocity studies were followed by whole-exome sequencing, which demonstrated hemizygosity for c.2369+1 G>T, a pathogenic variant in the PHKA1 gene, consistent with GSD IXd. He was subsequently treated with 2 PCSK9 inhibitors (first evolocumab, then alirocumab). A comprehensive literature review identified only 2 previously reported cases of GSD treated with alirocumab. Even if not volunteered, a history of muscle symptoms should be actively sought before initiating statins, with baseline CPK measurement if indicated. As statins are increasingly prescribed, additional cases of GSD may be unmasked, underscoring the need to define optimal therapy for hyperlipidemia in NMD, including GSD. We propose a specific role for PCSK9 inhibitors in patients with statin intolerance and GSD IXd, which has not been previously reported.
Lactate-induced mitochondrial magnesium uptake and its metabolic implications in the McArdle disease model.
McArdle disease, caused by mutations in the pygm encoding myophosphorylase, impairs muscle glycogenolysis and lactate production during exercise, leading to severe energy deficits. Here, we report that the decreased lactate production in McArdle disease regulates mitochondrial magnesium (mMg2+) uptake, with major metabolic consequences in skeletal muscle. Using a CRISPR/Cas9-generated pygm knockout (KO) rat model, we demonstrate that KO rats fail to elevate lactate during static muscle contraction and exhibit diminished mMg2+ uptake, disrupted ATP synthesis, and impaired mitochondrial respiration. In vitro, caffeine-stimulated KO myotubes showed preserved Ca2+ oscillations but lacked lactate production and mMg2+ uptake. Restoration of lactate levels via glucose supplementation rescued mMg2+ transport and improved metabolic output. These findings underscore the significance of lactate as a crucial regulator of mMg2+ homeostasis and provide valuable mechanistic insights into the metabolic dysfunction observed in McArdle disease.
Low-carbohydrate ketogenic diet in Mc Ardle's disease: a single-blinded randomized controlled trial.
Glycogenosis type 5 (GSD5, Mc Ardle's disease), the most common muscle glycogen storage disease characterized by exercise intolerance, recurrent myoglobinuria and possible myopathic evolution, is still missing and effective treatment. A dietetic approach to circumvent the metabolic failure in GSD5 seems attractive and has been attempted in various forms but with mixed results. We ran a single-blind randomized controlled trial comparing 6 months of individualized 3:1 low-carbohydrate ketogenic diet (LCKD) to diet as usual in 21 adult patients with GSD5. Primary endpoints were safety and tolerability, and primary outcome was change in peak VO2 at incremental exercise test. Secondary outcomes were distance at the12minWT, change in peak work, changes in QoL measured by the SF36 and disability assessed by the WHO-DAS 2.0. Ketosis was monitored by checking blood levels of BOHB with portable glucometers. The LCKD regimen was well tolerated with no dropouts, no SAE related to treatment and only minor and transient subjective adverse events. Blood metabolites remained within the normal range. Six months of LCKD were associated with a significant increase in peak VO2 (+ 2.7 ml/min/Kg, p 0.049) and distance covered by the 12minWT (+ 55 m p 0.049). Peak work showed a marginal increase. There was a nonsignificant trend toward better perceived QoL and decreased disability by SF36 and WHO-DAS 2.0. LCKD is a safe and, once properly individualized, sustainable strategy to improve functioning in GSD5. Five patients in the LCKD study group elected to stay on LCKD and after 3 years are reporting good impact on functioning.Trial registration: n°: NCT04292938, 3/25/2019.
Diagnosis of Inherited Metabolic Disease in Older Patients: A Systematic Literature Review.
Inherited metabolic diseases (IMDs) are genetic disorders that disrupt biochemical processes in the human body, due to pathogenic variants in genes encoding enzymes or transporters. While IMDs are mostly diagnosed in infancy or childhood, there is an increasing number of diagnoses in adult patients. Delayed diagnosis, particularly in older patients, may reflect the diagnostic odyssey usually observed in rare diseases' patients and can result in complications and reduced quality of life for patients and their families. The aim of the study was to better characterize the diagnosis of IMDs in older patients (≥ 65 years). We conducted a systematic literature review (SLR) to examine the diagnosis and clinical presentation of IMDs in patients aged 65 and older. We searched databases like PubMed, Embase, and Lilacs for relevant studies from 1965 to 2023. A total of 260 articles were included, representing 293 patients with a median age of 69 years at diagnosis. From this SLR, 67 different diagnoses have been reported. The most frequently reported diseases were Fabry disease, alkaptonuria, Gaucher disease, mitochondrial disorders, and glycogen storage disease type V. Median diagnostic delay was 14.5 years with a wide range of 1-91 years. Musculoskeletal symptoms were the most frequently reported, followed by neurological and cardiovascular symptoms. Our findings underscore the importance of recognizing IMDs in older patients and the need for awareness among healthcare providers to improve diagnosis and patient care. Future guidelines and teaching programs should incorporate metabolic investigations for older patients presenting with symptoms suggestive of IMDs.
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📖 Revisão📚 EuropePMCmostrando 191
The Impact of Muscle Fatigue on McArdle Disease: A Case Report.
CureusHypercholesterolemia Successfully Treated With Two Different PCSK9 Inhibitors in a Patient With Glycogen Storage Disease IXd: Phosphorylase Kinase Deficiency.
Journal of lipid and atherosclerosisLactate-induced mitochondrial magnesium uptake and its metabolic implications in the McArdle disease model.
Biochimica et biophysica acta. Molecular basis of diseaseWhen Fatigue Hides A Metabolic Myopathy: A Case Report of Mcardle Disease with Molecular Diagnosis.
European journal of case reports in internal medicinePHKA1-associated phosphorylase kinase deficiency: a monogenic disorder of exercise intolerance and myalgia.
NPJ genomic medicineLow-carbohydrate ketogenic diet in Mc Ardle's disease: a single-blinded randomized controlled trial.
Journal of neurologyImprovement of Symptoms in a Patient With Glycogen Storage Disease Through Nutritional Guidance and Exercise Therapy.
JCEM case reportsA disease that is difficult to predict: regional distribution and phenotypic, histopathological and genetic findings in McArdle disease.
Journal of pediatric endocrinology & metabolism : JPEMCase Report: Perioperative Management of a Patient with Glycogen Storage Disease Type IXd.
Surgical case reportsUnderstanding Glycogen Storage Disease Type IX: A Systematic Review with Clinical Focus-Why It Is Not Benign and Requires Vigilance.
GenesDiagnosis of Inherited Metabolic Disease in Older Patients: A Systematic Literature Review.
Journal of inherited metabolic diseaseAcute kidney injury after swimming: a pediatric case of McArdle disease.
Pediatric nephrology (Berlin, Germany)Recurrent rhabdomyolysis as a presenting feature of glycogenosis IX (GSD IX): a case report.
Archivos argentinos de pediatriaMcArdle Disease: Insights Into a Rare Metabolic Myopathy in a Young Boy With Recurrent Exercise-Induced Muscle Weakness.
CureusGlycogen storage disease type V: delayed diagnosis of a cause of exercise intolerance in a patient with hereditary haemorrhagic telangiectasia.
BMJ case reportsMcArdle Disease: A Diagnostic Challenge Due to Nonspecific Clinical Manifestations.
CureusLate Presentation of McArdle's Disease Mimicking Polymyalgia Rheumatica: A Case Report and Review of the Literature.
Case reports in rheumatologyExperiences of living with GSD5 (McArdle) disease: challenges and strategies. A qualitative study in the Netherlands.
Disability and rehabilitationUnusual presentation of PYGM gene mutation as late-onset McArdle disease with camptocormia: a case report.
Journal of medical case reportsMcArdle's Disease: A Differential Diagnosis of Metabolic Myopathies.
CureusThe Autophagic Activator GHF-201 Can Alleviate Pathology in a Mouse Model and in Patient Fibroblasts of Type III Glycogenosis.
BiomoleculesExercise Intolerance in McArdle Disease: A Role for Cardiac Impairment? A Preliminary Study in Humans and Mice.
Medicine and science in sports and exerciseNew perspectives for the treatment and follow-up of glycogen storage disease type V: DL-3-hydroxybutyric acid with modified Atkins diet and quadriceps femoris shear wave elastography.
Journal of pediatric endocrinology & metabolism : JPEMA Functional Human Glycogen Debranching Enzyme Encoded by a Synthetic Gene: Its Implications for Glycogen Storage Disease Type III Management.
Protein and peptide lettersMetabolic aspects of glycogenolysis with special attention to McArdle disease.
Molecular genetics and metabolismGlycogen myophosphorylase loss causes increased dependence on glucose in iPSC-derived retinal pigment epithelium.
The Journal of biological chemistryCardiac comorbidities in McArdle disease: case report and systematic review.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyCarbohydrate Ingestion before Exercise for Individuals with McArdle Disease: Survey Evidence of Implementation and Perception in Real-World Settings.
NutrientsAn autosomal recessive variant in PYGM causes myophosphorylase deficiency in Red Angus composite cattle.
BMC genomics[McArdle's disease revealed by acute low back pain].
La Revue de medecine interneA rare co-occurrence of phosphorylase kinase deficiency (GSD type IXd) and alpha-glycosidase deficiency (GSD Type II) in a 53-year-old man presenting with an atypical glycogen storage disease phenotype.
Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of MyologyGlycogen storage disease type V: a still under-recognized condition lacking definitive genotype-phenotype correlates.
Pediatric researchSyndromic PRD: case report of McArdle retinopathy and review of literature.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie[Powerless muscles in McArdle disease - what general practitioners should know].
MMW Fortschritte der MedizinDefect in degradation of glycogenin-exposed residual glycogen in lysosomes is the fundamental pathomechanism of Pompe disease.
The Journal of pathologyAcute ketone supplementation in the absence of muscle glycogen utilization: Insights from McArdle disease.
Clinical nutrition (Edinburgh, Scotland)Toward an Understanding of GSD5 (McArdle disease): How Do Individuals Learn to Live with the Metabolic Defect in Daily Life.
Journal of neuromuscular diseasesExercise induced muscle weakness in a young adult: McArdle's disease unusual presentation.
JPMA. The Journal of the Pakistan Medical AssociationDiagnostic accuracy and the first genotype-phenotype correlation in glycogen storage disease type V.
Pediatric researchFatigue and associated factors in 172 patients with McArdle disease: An international web-based survey.
Neuromuscular disorders : NMDDose-response effect of pre-exercise carbohydrates under muscle glycogen unavailability: Insights from McArdle disease.
Journal of sport and health scienceRecurrent atraumatic compartment syndrome as a manifestation of genetic neuromuscular disease.
Neuromuscular disorders : NMDRhabdomyolysis in McArdle disease caused by scuba diving.
BMJ case reportsCan a modified ketogenic diet be a nutritional strategy for patients with McArdle disease? Results from a randomized, single-blind, placebo-controlled, cross-over study.
Clinical nutrition (Edinburgh, Scotland)Clinical and Laboratory Findings on Glycogen Storage Disease Type V: Results from a Retrospective Observational Study in a Tertiary Hospital.
Endocrine, metabolic & immune disorders drug targetsA first in literature: anesthesia management in kidney transplant surgery of a patient with McArdle disease.
Nigerian journal of clinical practiceData from the European registry for patients with McArdle disease (EUROMAC): functional status and social participation.
Orphanet journal of rare diseasesRepeated oral sucrose dosing after the second wind is unnecessary in patients with McArdle disease: Results from a randomized, placebo-controlled, double-blind, cross-over study.
Journal of inherited metabolic diseaseDevelopment of Continuum of Care for McArdle disease: A practical tool for clinicians and patients.
Neuromuscular disorders : NMD[Rhabdomyolysis of rare etiology].
Innere Medizin (Heidelberg, Germany)Metabolic Myopathies in the Era of Next-Generation Sequencing.
GenesValuing Mundane Manifestations of Rare, but Underdiagnosed, Diseases in Portugal: The Example of McArdle Disease.
Acta medica portuguesaAtraumatic Acute Paraspinal Compartment Syndrome in a Patient With McArdle's Disease.
The American surgeonPatient-Reported Experiences with a Low-Carbohydrate Ketogenic Diet: An International Survey in Patients with McArdle Disease.
NutrientsMetabolic adaptations in McArdle's disease and its mechanisms.
The Journal of physiologyAn experiment of nature links muscle glycogen unavailability with very high fat oxidation rates despite low aerobic fitness.
The Journal of physiologyLow aerobic capacity in McArdle disease: A role for mitochondrial network impairment?
Molecular metabolismGeneration of the First Human In Vitro Model for McArdle Disease Based on iPSC Technology.
International journal of molecular sciencesDiagnosis and genetic analysis of a case with glycogen storage disease type V caused by compound heterozygous mutations in the PYGM gene.
Yi chuan = HereditasMuscle glycogen unavailability and fat oxidation rate during exercise: Insights from McArdle disease.
The Journal of physiology[McArdle's disease in four pediatric patients. Diagnostic algorithm for exercise intolerance].
Revista de neurologiaMcArdle disease in a patient with anorexia nervosa: a case report.
Eating and weight disorders : EWDMuscle MRI in McArdle Disease: A European Multicenter Observational Study.
NeurologyCardiac arrest as a manifestation of unknown Type V glycogenosis: a case report.
ESC heart failureIdentification of Potential Muscle Biomarkers in McArdle Disease: Insights from Muscle Proteome Analysis.
International journal of molecular sciencesA novel compound heterozygous mutation in PYGM gene associated with McArdle's disease.
Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of MyologyMcArdle disease and pregnancy: A case report and scoping review of pregnancy outcomes.
Obstetric medicineMcArdle Disease Rhabdomyolysis Precipitated by Acetazolamide for Idiopathic Intracranial Hypertension.
Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology SocietyLong-Term Exercise Intervention in Patients with McArdle Disease: Clinical and Aerobic Fitness Benefits.
Medicine and science in sports and exerciseHigh prevalence of paraspinal muscle involvement in adults with McArdle disease.
Muscle & nerveNo effect of oral ketone ester supplementation on exercise capacity in patients with McArdle disease and healthy controls: A randomized placebo-controlled cross-over study.
Journal of inherited metabolic diseaseRhabdomyolysis Episode in an Individual with McArdle's Disease after Low Aerobic Exercise.
Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi ArabiaFunctional and enzymatic improvement during pregnancy in McArdle's disease.
Journal of the neurological sciencesPreclinical Research in McArdle Disease: A Review of Research Models and Therapeutic Strategies.
GenesWhole-exome sequencing detects PYGM variants in two adults with McArdle disease.
Cold Spring Harbor molecular case studiesWhole-body muscle MRI in McArdle disease.
Neuromuscular disorders : NMDMaximal Multistage Shuttle Run Test-induced Myalgia in a Patient with Muscle Phosphorylase B Kinase Deficiency.
Internal medicine (Tokyo, Japan)Phenotype and genotype of 197 British patients with McArdle disease: An observational single-centre study.
Journal of inherited metabolic diseaseInternational patient group harnesses social media to help inform rare disease research: use of a low carbohydrate ketogenic diet in McArdle disease.
Current opinion in endocrinology, diabetes, and obesityThe phenotypic and genotypic features of a Scottish cohort with McArdle disease.
Neuromuscular disorders : NMD[MCARDLE'S DISEASE AND PHYSICAL ACTIVITY - A MIXED BLESSING].
HarefuahClinical Presentation and Management of Severe Acute Renal Failure in McArdle Disease.
Clinical medicine & researchMuscle Glycogen Phosphorylase and Its Functional Partners in Health and Disease.
CellsPearls & Oy-sters: Hickam's Dictum in Genetic Myopathies: When a Proven Pathogenic Mutation Does Not Explain the Phenotype.
NeurologyA novel PHKA1 mutation associating myopathy and cognitive impairment: Expanding the spectrum of phosphorylase kinase b (PhK) deficiency.
Journal of the neurological sciencesRetinopathy in McArdle Disease.
Ophthalmology. RetinaBiomechanical muscle stiffness measures of extensor digitorum explain potential mechanism of McArdle sign.
Clinical biomechanics (Bristol, Avon)When POTS is the tip of the iceberg: Rare cases of dysautonomia as a possible manifestation of another disorder.
LupusGeneration of the iPSC line IISHDOi007-A from peripheral blood mononuclear cells from a patient with McArdle disease harbouring the mutation c.2392 T > C; p.Trp798Arg.
Stem cell researchMcArdle disease presenting as abnormal liver function: biochemical, anatomical and genetic characterisation in the first genetically confirmed Chinese family with a novel splicing variant.
PathologyData from the European registry for patients with McArdle disease and other muscle glycogenoses (EUROMAC).
Orphanet journal of rare diseasesAn elderly diabetic patient with McArdle disease and recurrent rhabdomyolysis: a potential association with late hypoinsulinemia?
BMC geriatricsCreation and implementation of a European registry for patients with McArdle disease and other muscle glycogenoses (EUROMAC registry).
Orphanet journal of rare diseasesReference values for the 12 minute walk test in McArdle patients.
Neuromuscular disorders : NMDHypercholesterolemia treated with a PCSK9 inhibitor in a patient with ischemic heart disease and McArdle disease.
Medicina clinicaResults of an open label feasibility study of sodium valproate in people with McArdle disease.
Neuromuscular disorders : NMDThe potential of a ketogenic diet to minimize effects of the metabolic fault in glycogen storage disease V and VII.
Current opinion in endocrinology, diabetes, and obesityPYGM mRNA expression in McArdle disease: Demographic, clinical, morphological and genetic features.
PloS oneSex Differences and the Influence of an Active Lifestyle on Adiposity in Patients with McArdle Disease.
International journal of environmental research and public healthThe ratio of maximal handgrip force and maximal cycloergometry power as a diagnostic tool to screen for metabolic myopathies.
Scientific reportsExercise efficiency impairment in metabolic myopathies.
Scientific reportsNo effect of oral sucrose or IV glucose during exercise in phosphorylase b kinase deficiency.
Neuromuscular disorders : NMDRepeatedly in Rhabdomyolysis.
Pediatric emergency careA thermodynamic function of glycogen in brain and muscle.
Progress in neurobiologyLongitudinal case study and phenotypic multimodal characterization of McArdle disease-linked retinopathy: insight into pathomechanisms.
Ophthalmic geneticsIdentification of a novel PYGM mutation in a McArdle disease patient misdiagnosed as hypokalemic periodic paralysis.
Journal of endocrinological investigationTitrating a modified ketogenic diet for patients with McArdle disease: A pilot study.
Journal of inherited metabolic diseaseMcArdle disease causing rhabdomyolysis following vaginal delivery.
Anaesthesia reportsExercise therapy for muscle and lower motor neuron diseases.
Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of MyologyPhysiological aspects of muscular adaptations to training translated to neuromuscular diseases.
Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of MyologyAbsence of p.R50X Pygm read-through in McArdle disease cellular models.
Disease models & mechanismsMcArdle Disease: New Insights into Its Underlying Molecular Mechanisms.
International journal of molecular sciencesThe effect of muscle glycogen phosphorylase (Pygm) knockdown on zebrafish morphology.
The international journal of biochemistry & cell biologyLiver Glycogen Phosphorylase Deficiency Leads to Profibrogenic Phenotype in a Murine Model of Glycogen Storage Disease Type VI.
Hepatology communicationsTranslational Medicine: Exercise Physiology Applied to Metabolic Myopathies.
Medicine and science in sports and exerciseNo effect of triheptanoin on exercise performance in McArdle disease.
Annals of clinical and translational neurologySystemic AAV8-mediated delivery of a functional copy of muscle glycogen phosphorylase (Pygm) ameliorates disease in a murine model of McArdle disease.
Human molecular geneticsA new mutation in PYGM causing McArdle disease in a Brazilian patient.
Acta neurologica BelgicaCan hyperuricemia predict glycogen storage disease (McArdle's disease) in rheumatology practice? (Myogenic hyperuricemia).
Clinical rheumatologyPigmentary Changes in the Retina in a Patient with McArdle's Disease.
Ophthalmology. RetinaLow survival rate and muscle fiber-dependent aging effects in the McArdle disease mouse model.
Scientific reportsNovel Asp511Thr mutation in McArdle disease with acute kidney injury caused by rhabdomyolysis.
CEN case reportsTreatment of a high cardiovascular risk patient with McArdle's disease with PCSK9 inhibitors.
Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de ArteriosclerosisSpondyloarthropathy associated with glycogen storage disease type V mimicking polymyositis.
QJM : monthly journal of the Association of PhysiciansMuscle diffusion tensor imaging in glycogen storage disease V (McArdle disease).
European radiologyCardiac manifestations of McArdle disease.
European heart journalTotal thyroidectomys in patient with McArdle's syndrome: Anesthetic management.
Revista espanola de anestesiologia y reanimacionLack of muscle mTOR kinase activity causes early onset myopathy and compromises whole-body homeostasis.
Journal of cachexia, sarcopenia and muscleSingle-centre experience on genotypic and phenotypic features of southern Brazilian patients with McArdle disease.
Acta neurologica BelgicaRetinopathy Associated with Biallelic Mutations in PYGM (McArdle Disease).
OphthalmologyMastication and Oral Motor Function in McArdle Disease: Patient Reported Complaints.
Journal of neuromuscular diseasesRETINAL DYSTROPHY IN A PATIENT WITH McARDLE DISEASE.
Retinal cases & brief reportsMissense mutations have unexpected consequences: The McArdle disease paradigm.
Human mutationMcArdle Disease Presenting With Muscle Pain in a Teenage Girl: The Role of Whole-Exome Sequencing in Neurogenetic Disorders.
Seminars in pediatric neurologyManifesting heterozygotes in McArdle disease: a myth or a reality-role of statins.
Journal of inherited metabolic diseaseExercise testing-based algorithms to diagnose McArdle disease and MAD defects.
Acta neurologica ScandinavicaLabel-free identification of myopathological features with coherent anti-Stokes Raman scattering.
Muscle & nerveNon-osteogenic muscle hypertrophy in children with McArdle disease.
Journal of inherited metabolic diseasePre- and peripartal management of a woman with McArdle disease: a case report.
Gynecological endocrinology : the official journal of the International Society of Gynecological EndocrinologyWave of renal impairment.
BMJ case reportsClinical utility gene card for McArdle disease.
European journal of human genetics : EJHGMuscle molecular adaptations to endurance exercise training are conditioned by glycogen availability: a proteomics-based analysis in the McArdle mouse model.
The Journal of physiologySpontaneous Compartment Syndrome in a Patient with McArdle Disease: A Case Report and Review of the Literature.
JBJS case connectorA New Condition in McArdle Disease: Poor Bone Health-Benefits of an Active Lifestyle.
Medicine and science in sports and exerciseMultimodal imaging of posterior ocular involvement in McArdle's disease.
Clinical & experimental optometryExercising with blocked muscle glycogenolysis: Adaptation in the McArdle mouse.
Molecular genetics and metabolismGenotypic and phenotypic features of all Spanish patients with McArdle disease: a 2016 update.
BMC genomics211th ENMC International Workshop:: Development of diagnostic criteria and management strategies for McArdle Disease and related rare glycogenolytic disorders to improve standards of care. 17-19 April 2015, Naarden, The Netherlands.
Neuromuscular disorders : NMDMyophosphorylase (PYGM) mutations determined by next generation sequencing in a cohort from Turkey with McArdle disease.
Neuromuscular disorders : NMDEstablishment of a human iPSC line (IISHDOi001-A) from a patient with McArdle disease.
Stem cell researchPRES leading to the diagnosis of McArdle disease.
Journal of clinical neuroscience : official journal of the Neurosurgical Society of AustralasiaImpaired glycogen breakdown and synthesis in phosphoglucomutase 1 deficiency.
Molecular genetics and metabolismSuccessful Electroconvulsive Therapy for a Patient With McArdle Disease.
The journal of ECTMetabolic profiles of exercise in patients with McArdle disease or mitochondrial myopathy.
Proceedings of the National Academy of Sciences of the United States of AmericaMisdiagnosis is an important factor for diagnostic delay in McArdle disease.
Neuromuscular disorders : NMDLow versus high carbohydrates in the diet of the world-class athlete: insights from McArdle's disease.
The Journal of physiologyNovel variant in the PYGM gene causing late-onset limb-girdle myopathy, ptosis, and camptocormia.
Muscle & nerveMcArdle Disease Misdiagnosed as Meningitis.
The American journal of case reportsMuscle fiber type proportion and size is not altered in mcardle disease.
Muscle & nerveTaking advantage of an old concept, "illegitimate transcription", for a proposed novel method of genetic diagnosis of McArdle disease.
Genetics in medicine : official journal of the American College of Medical GeneticsNormal activities of AMP-deaminase and adenylate kinase in patients with McArdle disease.
Neurological researchHome-based aerobic exercise training improves skeletal muscle oxidative metabolism in patients with metabolic myopathies.
Journal of applied physiology (Bethesda, Md. : 1985)The McArdle's Mouse Model: Providing Important Insight into Skeletal Muscle Regulation.
Medicine and science in sports and exerciseRhabdomyolysis With Acute Renal Failure Requiring Dialysis in McArdle Disease: A Role for the Antidepressant Venlafaxine?
Journal of clinical psychopharmacologyDifferential glucose metabolism in mice and humans affected by McArdle disease.
American journal of physiology. Regulatory, integrative and comparative physiologyRecurrent Episodes of Rhabdomyolysis after Seizures in a Patient with Glycogen Storage Disease Type V.
Journal of clinical neurology (Seoul, Korea)Skeletal muscle disorders of glycogenolysis and glycolysis.
Nature reviews. NeurologyA multi-parametric protocol to study exercise intolerance in McArdle's disease.
Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of MyologyMuscle Signaling in Exercise Intolerance: Insights from the McArdle Mouse Model.
Medicine and science in sports and exerciseDifferential Muscle Involvement in Mice and Humans Affected by McArdle Disease.
Journal of neuropathology and experimental neurologyXanthine Oxidase Pathway and Muscle Damage. Insights from McArdle Disease.
Current pharmaceutical design[Anesthesia in a Patient with McArdle Disease].
Masui. The Japanese journal of anesthesiologyRecurrent Compartment Syndrome Leading to the Diagnosis of McArdle Disease: Case Report.
The Journal of hand surgeryExercise and Preexercise Nutrition as Treatment for McArdle Disease.
Medicine and science in sports and exerciseGenes and exercise intolerance: insights from McArdle disease.
Physiological genomicsRodent models for resolving extremes of exercise and health.
Physiological genomics[Glycogen metabolism: skeletal muscle and brain function].
No to hattatsu = Brain and developmentNext-generation sequencing to estimate the prevalence of a great unknown: McArdle disease.
Genetics in medicine : official journal of the American College of Medical GeneticsMcArdle disease: 2 case reports.
Reumatologia clinicaMinimal symptoms in McArdle disease: A real PYGM genotype effect?
Muscle & nerveReport on the EUROMAC McArdle Exercise Testing Workshop, Madrid, Spain, 11-12 July 2014.
Neuromuscular disorders : NMDMinimally symptomatic mcardle disease, expanding the genotype-phenotype spectrum.
Muscle & nerveLactate and Energy Metabolism During Exercise in Patients With Blocked Glycogenolysis (McArdle Disease).
The Journal of clinical endocrinology and metabolismA rare case of multiple sclerosis and McArdle disease.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyMcArdle Disease: Update of Reported Mutations and Polymorphisms in the PYGM Gene.
Human mutationThe investigation and management of metabolic myopathies.
Journal of clinical pathologyPhenotype consequences of myophosphorylase dysfunction: insights from the McArdle mouse model.
The Journal of physiologySodium valproate increases the brain isoform of glycogen phosphorylase: looking for a compensation mechanism in McArdle disease using a mouse primary skeletal-muscle culture in vitro.
Disease models & mechanismsDetermining the prevalence of McArdle disease from gene frequency by analysis of next-generation sequencing data.
Genetics in medicine : official journal of the American College of Medical GeneticsDiagnostic power of the non-ischaemic forearm exercise test in detecting glycogenosis type V.
European journal of neurology[25-year old patient with angina pectoris during religious fasting].
Deutsche medizinische Wochenschrift (1946)Associações
Organizações que acompanham esta doença — pra ter apoio e orientação
Ainda não temos associações cadastradas para Doença de armazenamento de glicogênio devida a deficiência de glicogenofosforilase muscular.
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- The Impact of Muscle Fatigue on McArdle Disease: A Case Report.
- Hypercholesterolemia Successfully Treated With Two Different PCSK9 Inhibitors in a Patient With Glycogen Storage Disease IXd: Phosphorylase Kinase Deficiency.
- Lactate-induced mitochondrial magnesium uptake and its metabolic implications in the McArdle disease model.
- Low-carbohydrate ketogenic diet in Mc Ardle's disease: a single-blinded randomized controlled trial.
- Diagnosis of Inherited Metabolic Disease in Older Patients: A Systematic Literature Review.
- A multi-country time and motion study to describe the experience and burden associated with the treatment of Fabry disease with enzyme replacement therapy with agalsidase alfa and agalsidase beta.
- In vivo applications and toxicities of AAV-based gene therapies in rare diseases.
- A novel variant in the 3' UTR of the TCF4 gene likely causes Pitt-Hopkins syndrome: a case report.
- The Clinical Heterogeneity of Spinal Muscular Atrophy with Respiratory Distress Type 1 (SMARD1)-A Report of Three Cases, Including Twins.
- Efficacy and safety of compassionate use for rare diseases: a scoping review from 1991 to 2022.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:368(Orphanet)
- OMIM OMIM:232600(OMIM)
- MONDO:0009293(MONDO)
- GARD:6528(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Artigo Wikipedia(Wikipedia)
- Q787751(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
