Harrison's Practice

Disorders of Muscle Energy Metabolism

Definition

  • Abnormalities in the utilization of skeletal muscle glucose and/or fatty acids (lipids) cause a variety of syndromes resulting in muscle dysfunction.
  • Wide range of clinical presentations
    • Acute, with pain, rhabdomyolysis, and myoglobinuria
    • Chronic, with progressive weakness
  • Disorders of glucose utilization
    • Disorders of glycogen storage causing progressive weakness
      • Acid maltase deficiency (Pompe disease; type II glycogenosis)
      • Debranching enzyme deficiency (type III glycogenosis)
      • Branching enzyme deficiency (type IV glycogenosis)
    • Disorders of glycolysis causing exercise intolerance
      • Myophosphorylase deficiency (McArdle disease; type V glycogenosis)
      • Phosphofructokinase deficiency (type VII glycogenosis)
      • Phosphoglycerate kinase deficiency (type IX glycogenosis)
      • Phosphoglycerate mutase deficiency (type X glycogenosis)
      • Lactate dehydrogenase deficiency (type XI glycogenosis)
  • Disorders of lipid utilization causing exercise-induced myoglobinuria and muscle pain
      • Carnitine palmitoyltransferase II deficiency
      • Myoadenylate deaminase deficiency

Disorders of Muscle Energy Metabolism has been found in Harrison's Practice

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