Table 2a.

Other Genes of Interest in the Differential Diagnosis of Perinatal and Congenital Neuromuscular Subtypes of GSD IV

Gene(s)Differential
Diagnosis
Disorder
MOIFeatures of Differential Diagnosis Disorder
Overlapping w/perinatal & congenital neuromuscular subtypes of GSD IVDistinguishing from perinatal & congenital neuromuscular subtypes of GSD IV
SMN1 Spinal muscular atrophy AR
  • ↓ fetal movement
  • Arthrogryposis
  • Severe congenital hypotonia
  • Cardiopulmonary compromise
  • Tongue fasciculations
  • ↓ or absent deep tendon reflexes
GAA Pompe disease AR
  • Profound hypotonia
  • Respiratory distress
Hypertrophic cardiomyopathy rather than dilated cardiomyopathy
>10 genes 1 Zellweger spectrum disorder AR
  • Profound hypotonia
  • Respiratory distress
Rhizomelic chondrodysplasia punctata & biochemical peroxisomal abnormalities
>40 genes 2 Congenital disorders of glycosylation AR
(XL)
  • Hypotonia
  • Liver disease
  • Cardiomyopathy
  • Seizures
  • Stroke-like episodes

From: Glycogen Storage Disease Type IV

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