The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;76(1):1-5.
다발성 간선종과 통풍을 동반한 당원병 Ia형 1예
이동건, 박성후, 최정문, 서종훈, 이진성, 양미진, 김근태
A case of multiple hepatic adenomas and gout with glycogen storage disease type Ia
Dong Gun Lee, Sung Hoo Park, Jung Moon Choi, Jong Hoon Seo, Jin Sung Lee, Mi Jin Yang, Geun Tae Kim


Abstract
Glycogen storage disease (GSD) type Ia is a rare inherited metabolic disease characterized by glucose-6-phosphatase (G6Pase) deficiency, which results in many metabolic problems, such as fasting hypoglycemia, lactic acidosis, hyperuricemia, and hyperlipidemia. The metabolic derangements may result in long-term complications, including growth retardation, gout, hepatic adenomas, and renal disease. A 26-year-old male was admitted with general weakness, multiple subcutaneous mass-like lesions, and hepatomegaly. He was diagnosed as GSD type Ia through analysis of the G6Pase gene. This disease is found mainly in childhood, but we diagnosed a case of GSD type Ia during a work-up of arthralgia and hepatomegaly in an adult patient. We report this case with a review of the literature. (Korean J Med 76:S1-S5, 2009)

Keywords :Glycogen storage disease, Gout, Hepatic adenoma
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