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A Case of Glycogenic Cardiomegaly in a Dog

Ett fall av cardiomegalia glycogenica hos hund

Abstract

A description is given of the macroscopic and microicopic picture of a rare entity of glycogenic cardiomegaly in a dog. Clinically it was diagnosed as a combination of tonsillitis, oesophageal dilatation and myocarditis. The characteristic symptoms were increasing difficulty in swallowing, sporadic vomiting, copious amount of mucus in the pharynx, unthriftiness and poor stale of nutrition.

The histochemical changes were characteristic, indicated a process of glycogenosis and conformed to the classic form of Pompe's disease. Beside the enormously hypertrophied heart, the process successively involved the brain, liver, lungs, oesophagus and kidneys. An interesting diagnostic pattern of glycogenosis was revealed in capillaries and in all arterial media.

The literature on glycogen storage disease is briefly reviewed and critically discussed with reference to the case presented.

Sammanfattning

Ett sällsynt fall av cardiomegalia glycogenica hos hund beskrives makro- och mikroskopiskt. Fallet diagnosticerades kliniskt som en kombination av tonsillit, eosofagusdilatation och myokardit. Karaktäristiska symtom var ökande sväljningssvårigheter, sporadiska kräkningar, slemansamling i svalget, apati och avmagring. Mikroskopiskt påvisades patologiska glykogenavlagringar överensstämmande med den klassiska formen av Pompes sjukdom. Förutom i det starkt förstorade hjärtat påvisades förändringar i hjärna, lever, lungor, matstrupe och njurar. Diagnostiskt intressanta glycogenavlagringar påvisades i kapillärerna och i median i alla artärer.

Litteraturen över glykogenoser genomgås kortfattat och diskuteras kritiskt med utgångspunkt från det framlagda fallet.

References

  • Antopol W., J. Heilbrunn & L. Tochmann: Enlargement of the heart due to abnormal glycogen storage. Amer. J. med. Sci. 1934, 188, 354–359.

    Article  Google Scholar 

  • Bardens J. W.: Glycogen-storage disease in puppies. Vet. Med. small Animal Clin. 1966, 61, 1174–1176.

    CAS  Google Scholar 

  • Bardens J. W., G. W. Bardens & B. Bardens: Clinical observations on von Gierke-like syndrome in puppies. Allied Vet. 1961, 4–7.

    Google Scholar 

  • Bellingham Smith E. & E. O'Flym: Familial hepatomegaly of uncer-tain pathology. Lancet 1933, 11, 297–298.

    Article  Google Scholar 

  • Beumer H. & A. Loeschke: Zum Stoffwechsel bei der Glykogenspei-cherkrankheit. (The metabolism of the glycogen-storage dis-ease). Klin. Wschr. 1932, 11, 1824.

    Article  Google Scholar 

  • Bischoff G.: Zum klinischen Bild der Glykogenspeicherungskrankheit (Glykogenose). (The clinical picture of the glycogen-storage disease (glycogenosis). Z. Kinderheilk. 1932, 52, 722–726.

    Article  Google Scholar 

  • van Creveld S.: Glycogen disease. Medicine (Baltimore) 1939, 18, 1–128.

    Google Scholar 

  • Esser M. & S. Scheidegger: Glycogenkrankheit. (Glycogen-storage dis-ease). Schweiz, med. Wschr. 1937, 67, 970–972.

    Google Scholar 

  • Faber V.; Ãœber die Glykogenkrankheit (Hepatomegalia glycogenica). (On the glycogen-storage disease). Frankfurt. Z. Path. 1935, 47, 443–454.

    Google Scholar 

  • von Gierke E.: Hepatonephromegalia glycogenica (Glykogenspeicher-krankheit der Leber und der Nieren). (Glycogen-storage dis-ease of the liver and the kidney). Beitr. path. Anat. 1929, 82, 497–513.

    Google Scholar 

  • von Gierke E.: über Glykogenspeicherungskrankheit. (On the glyco-gen-storage disease). Beitr. path. Anat. 1937, 99, 369–385.

    Google Scholar 

  • Harnapp G. O.: Zur Klinik der Hepatomegalien mit Kohlehydratstoffwechselstörungen. (The clinical picture of hepatomegaly with disturbance of the carbohydrate metabolism). I. Glykogenspeicherkrankheit. (Glycogen-storage disease). Mschr. Kinderheilk. 1936, 66, 169–183. II. Fettleber und Cirrhose. (Fatty liver and cirrhosis). Mschr. Kinderheilk. 1936, 66, 184-193. III. Differentialdiagnose und Pathogenese der Glykogenspeiche-rungskrankheit. (Differential diagnosis and pathogenesis of glycogen-storage disease). Mschr, Kinderheilk. 1936, 66, 194-212.

    CAS  Google Scholar 

  • Humphreys E. M. & K. Kalo: Glycogen storage disease. Amer. J. Path. 1934, 10, 589–614.

    CAS  PubMed  Google Scholar 

  • Kimmelstie L. P.: Ãœber Glykogenose. (On the glycogen-storage disease). Beitr. path. Anat. 1933, 91, 1–19.

    Google Scholar 

  • Krakower C.: The lipoid factor in glycogen storage disease. J. Pediat. 1936, 9, 728–743.

    Article  Google Scholar 

  • Lindsay L. M., A. Ross & F. W. Wigglesworth: von Gierke’s glycogen disease. Ann. intern. Med. 1935, 9, 274–282.

    Article  CAS  Google Scholar 

  • Nelson E. W.: Textbook of Pediatrics, ed. W. B. Saunders Company, London. 8th Ed., 1964, 1191–1192.

    Google Scholar 

  • Pompe J. C: Over idiopathische hypertrophie van het heart. (On idiopathic hypertrophy of the heart). Ned. T. Geneesk. 1932, 76, 304–311.

    Google Scholar 

  • Pompe J. C: Hypertrophie idiopathique du coeur. (On idiopathic hypertrophy of the heart). Ann. Anat. path. 1933, 10, 23–35.

    Google Scholar 

  • Pompe J. C.: Cardiomegalia glycogenica. Thesis. Amsterdam 1936.

    Google Scholar 

  • Putschar W.: Ãœber angeborene Glykogenspeicherkrankheit des Her-zens. „Thesaurismosis glycogenica“ (von Gierke). (On con-genital glycogen-storage disease of the heart). Beitr. path. Anat. 1932, 90, 222–233.

    Google Scholar 

  • Putschar W. G.: Glycogen disease. Milit. Med. 1957, 120, 276–281.

    Article  CAS  Google Scholar 

  • di Sant'Agnese P. A.: Disease of glycogen storage with special re-ference to the cardiac type of generalized glycogenosis. Ann. N. Y. Acad. Sci. 1959, 72, 439–450.

    Article  Google Scholar 

  • Sant-Agnese P. A., H. Andersen, H. H. Mason & W. A. Bauman: Glycogen storage disease of the heart. I. Pediatrics 1950a, 6, 402–424.

    Google Scholar 

  • Sant'Agnese P. A. di D. H. Andersen & H. H. Mason: Glycogen storage disease of the heart. II. Pediatrics 1950b, 6, 607–623.

    Google Scholar 

  • Schall L.: Drei Fälle von Glykogenspeicherkrankheit (Hepatomegalia glycogenica von Gierke). (Three cases of glycogen-storage dis-ease). Münch, med. Wschr. 1932, 79, 2078–2080.

    CAS  Google Scholar 

  • Schönheimer R.: Ãœber eine eigenartige Störung des Kohlehydratstoff-wechsels. (On a peculiar disturbance of the carbohydrate meta-bolism). Hoppe-Seylers Z. physiol. Chem. 1929, 182, 148–150.

    Article  Google Scholar 

  • Unshelm E.: Die Glykogenkrankheit (zugleich ein Beitrag zur Frage des hepatogenen infantilismus). (The glycogen-storage disease (at the same time a contribution to the question of hepatic in-fantilism)). Jb. Kinderheilk. phys. Erzieh. 1932, 137, 257–302.

    CAS  Google Scholar 

  • Wilder R. L.: A case of hepatonephromegalia glycogenica (von Gier-ke's glycogen storage disease). J. Pediat. 1935, 7, 214–219.

    Article  Google Scholar 

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Mostafa, I.E. A Case of Glycogenic Cardiomegaly in a Dog. Acta Vet Scand 11, 197–208 (1970). https://doi.org/10.1186/BF03547980

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  • DOI: https://doi.org/10.1186/BF03547980