[Renal involvement in glycogen storage disease type 1: Practical issues].

Abstract:

AIM:To investigate risk factors of renal complications in glycogen storage disease type I, in order to identify practical implications for renal preservation. METHODS:A retrospective study of 38 patients with glycogen storage disease type I. RESULTS:The patients studied were 8.6 years old in average (1.5 to 22 years) and were followed during 7.4 ± 4.5 years. Hypercalciuria was detected in 23 patients and was related to acidosis (P=0.028), higher lactate levels (5.9 ± 3.5 versus 3.7 ± 1.7 mmol/L; P=0.013) and smaller height (-2.1 ± 1.5 SD versus -0.8 ± 1.5 SD; P=0.026). Urolithiasis was diagnosed in 7 cases. Glomerular disease (19/38) was more frequent in cases with severe hypertriglyceridemia (P=0.042) and occurred at an older age (P=0.007). Microalbuminuria occurred in 15/31 cases; ACE inhibitors were prescribed in only 8 cases. The frequency of renal complications did not differ according to the diet group (continuous enteral feeding or uncooked starch). Logistic regression concluded as risk factors: lactic acidosis for tubular disease and age>10 years for glomerular disease. CONCLUSIONS:Renal involvement is common in glycogen storage disease type I patients. Tubular abnormalities are precocious, related to lactic acidosis and may be detected by monitoring of urinary calcium. Glomerular hyperfiltration is the first stage of a progressive glomerular disease and is related to age. Practical implications for renal preservation are discussed based on our results and literature.

journal_name

Nephrol Ther

authors

Ben Chehida A,Bensmaïl T,Ben Rehouma F,Ben Abdelaziz R,Azzouz H,Boudabbous H,Slim Abdelmoula M,Abdelhak S,Kaabachi N,Ben Turkia H,Tebib N

doi

10.1016/j.nephro.2014.12.007

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

240-5

issue

4

eissn

1769-7255

issn

1872-9177

pii

S1769-7255(15)00062-0

journal_volume

11

pub_type

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