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Assays / Genetic
Enzymes / Glycogen Storage Disease Type IV (ANDERSEN
DISEASE)
Glycogen storage disease type IV is a rare but severe disorder
in which affected infants fail to thrive shortly after birth with
death usually occurring before the age of 2 years, although milder
variants are known. There is progressive hepatosplenomegaly and
liver failure accompanied by cirrhosis. It is due to deficiency
of the glycogen brancher enzyme which introduces branch points into
the glycogen molecule. This results in accumulation in the liver
of glycogen with an abnormal structure, although the total content
in the liver is not usually increased. Inheritance is autosomal
recessive. In a variant form of the disease the enzyme deficiency
and pathology is restricted to muscle.
ENZYME TESTS: The disease is due to deficiency of the glycogen
brancher enzyme
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