J Korean Med Sci.  1993 Jun;8(3):221-224. 10.3346/jkms.1993.8.3.221.

A case of juvenile form Pompe's disease manifested as chronic alveolar hypoventilation

Affiliations
  • 1Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea.

Abstract

We describe a case of the juvenile form of Pompe's disease that presented as primary alveolar hypoventilation due to respiratory muscle involvement. This 17-year-old girl had been asymptomatic until this admission, although she had a delayed puberty. Arterial blood gas analysis, pulmonary function test as well as physical findings were compatible with chronic alveolar hypoventilation syndrome. Since she had lower extremity muscle weakness and pseudomyotonic discharge on electromyography a muscle biopsy was done, which revealed glycogen storage disease. The patient was managed successfully with nasal intermittent positive pressure ventilation.

Keyword

Pompe's disease; nasal intermittent positive pressure ventilation (NIPPV); alveolar hypoventilation

MeSH Terms

Adolescent
Chronic Disease
Female
Glycogen Storage Disease Type II/*complications/pathology
Humans
Hypoventilation/*etiology/therapy
Intermittent Positive-Pressure Ventilation
Muscles/pathology
Pulmonary Alveoli
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