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Pyruvate kinase deficiency

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63: 37: 290: 1366: 161: 332:. Without a nucleus, they lack the ability to synthesize new proteins so if anything happens to their pyruvate kinase, they are unable to generate replacement enzymes throughout the rest of their life cycle. Without mitochondria, erythrocytes are heavily dependent on the anaerobic generation of ATP during glycolysis for nearly all of their energy requirements. 355:, water moves down its concentration gradient out of the cell. The cell shrinks and cellular death occurs, this is called 'dehydration at cellular level'. This is how a deficiency in pyruvate kinase results in hemolytic anaemia, the body is deficient in red blood cells as they are destroyed by lack of ATP at a larger rate than they are being created. 371:
counts. Other methods include direct enzyme assays, which can determine pyruvate kinase levels in erythrocytes separated by density centrifugation, as well as direct DNA sequencing. For the most part when dealing with pyruvate kinase deficiency, these two diagnostic techniques are complementary to
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Symptoms can be extremely varied among those suffering from pyruvate kinase deficiency. The majority of those suffering from the disease are detected at birth while some only present symptoms during times of great physiological stress such as pregnancy, or with acute illnesses
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or may require intensive treatment. With these severe cases of pyruvate kinase deficiency in red blood cells, treatment is the only option, there is no cure. However, treatment is usually effective in reducing the severity of the symptoms.
313:. This is the second ATP producing step of the process and the third regulatory reaction. Pyruvate kinase deficiency in the red blood cells results in an inadequate amount of or complete lack of the enzyme, blocking the completion of the 798:
Christensen, Robert D.; Yaish, Hassan M.; Johnson, Charlotte B.; Bianchi, Paola; Zanella, Alberto (October 2011). "Six Children with Pyruvate Kinase Deficiency from One Small Town: Molecular Characterization of the PK-LR Gene".
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is overactivated. This led to a rightward shift in the oxygen dissociation curve of hemoglobin (i.e. it decreases the hemoglobin affinity for oxygen): In consequence, patients may tolerate anemia surprisingly well.
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Pyruvate kinase deficiency happens worldwide, however northern Europe, and Japan have many cases. The prevalence of pyruvate kinase deficiency is around 51 cases per million in the population (via
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each other as they both contain their own flaws. Direct enzyme assays can diagnose the disorder and molecular testing confirms the diagnosis or vice versa. Furthermore, tests to determine
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Most affected individuals with pyruvate kinase deficiency do not require treatment. Those individuals who are more severely affected may die in utero of
1087:"Agios Announces FDA Approval of Pyrukynd (mitapivat) as First Disease-Modifying Therapy for Hemolytic Anemia in Adults with Pyruvate Kinase Deficiency" 2488: 1933: 427:
occurs when the reticulocytes are trapped in the hypoxic environment of the spleen. This reduces severe anemia and the need for blood transfusions.
2200: 2412: 1554: 1955: 2428: 1759: 423:. This does not stop the destruction of erythrocytes but it does help increase the amount of reticulocytes in the body since most of the 1910: 1412: 1862: 1684: 2029: 1960: 1754: 1694: 401: 2493: 317:. Therefore, all products past the block would be deficient in the red blood cell. These products include ATP and pyruvate. 2339: 1571: 994:
Jacobasch, Gisela; Rapoport, Samuel M. (1996-04-01). "Chapter 3 Hemolytic anemias due to erythrocyte enzyme deficiencies".
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disorders). Symptoms are limited to or most severe during childhood. Among the symptoms of pyruvate kinase deficiency are:
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Hoffman, Ronald; Benz, Edward J. Jr.; Silberstein, Leslie E.; Heslop, Helen; Weitz, Jeffrey; Anastasi, John (2013-02-12).
584:"Pyruvate kinase deficiency | Disease | Overview | Genetic and Rare Diseases Information Center (GARD) – an NCATS Program" 265:
180 different mutations have been found on the gene coding for the L and R isoenzymes, 124 of which are single-nucleotide
1726: 1276: 473: 400:, especially in infants and young children. This is done if the red blood cell count has fallen to a critical level. The 1140: 2384: 1179: 2228: 1735: 1706: 1070: 1043: 978: 727: 591: 2278: 2246: 2234: 2183: 1766: 1638: 2389: 2379: 2240: 2189: 2177: 2104: 2024: 1110:"Estimating the prevalence of pyruvate kinase deficiency from the gene frequency in the general white population" 415:) because reticulocytes are immature red blood cells that still contain mitochondria and so can produce ATP via 2333: 2138: 1699: 1405: 454: 1720: 1628: 2328: 1793: 1745: 1381: 2462: 1650: 335:
With insufficient ATP in an erythrocyte, all active processes in the cell come to a halt. Sodium potassium
2252: 1802: 1676: 1540: 1495: 262:, respectively). Mutations in the PKLR gene therefore cause a deficiency in the pyruvate kinase enzyme. 1956: 1740: 235: 2404: 2268: 1667: 1657: 1645: 1398: 416: 140:
inheritance have been observed with the disorder; classically, and more commonly, the inheritance is
62: 2417: 2129: 1970: 1633: 1287: 891: 2050: 1838: 1689: 278: 258:, two of which are encoded by the PKLR gene (isoenzymes L and R, which are used in the liver and 2039: 1829: 1490: 615:
Gallagher, Patrick G.; Glader, Bertil (2016-05-01). "Diagnosis of Pyruvate Kinase Deficiency".
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The level of 2,3-bisphosphoglycerate is elevated: 1,3-bisphosphoglycerate, a precursor of
8: 2005: 2000: 1868: 1613: 1421: 1349: 1265: 502: 231: 224: 185: 141: 44: 1371: 921:"The energy-less red blood cell is lost: erythrocyte enzyme abnormalities of glycolysis" 1900: 1873: 1478: 695: 670: 648: 118: 71: 1270: 2307: 1905: 1895: 1854: 1849: 1844: 1785: 1617: 1606: 1596: 1530: 1513: 1504: 1486: 1448: 1298: 1212: 1175: 1132: 1066: 1039: 1011: 1007: 974: 950: 942: 868: 860: 816: 777: 769: 764: 747: 723: 700: 640: 632: 397: 266: 89: 51: 652: 503:"Pyruvate Kinase Deficiency Clinical Presentation: History and Physical Examination" 2044: 2033: 1601: 1586: 1525: 1338: 1202: 1124: 1003: 932: 850: 808: 759: 690: 682: 624: 145: 1207: 1190: 746:
Zanella, Alberto; Fermo, Elisa; Bianchi, Paola; Valentini, Giovanna (2005-07-01).
2371: 1780: 1292: 1169: 1060: 1033: 968: 412: 252: 149: 144:. Pyruvate kinase deficiency is the second most common cause of enzyme-deficient 122: 812: 2211: 2195: 2078: 2015: 1964: 1797: 1425: 1303: 937: 920: 686: 442: 408: 321: 259: 126: 1390: 1255: 1128: 407:
There is a natural way the body tries to treat this disease. It increases the
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was approved for medical use in the United States in February 2022.
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which is the substrate for Pyruvate kinase, is increased and so the
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The diagnosis of pyruvate kinase deficiency can be done by full
2466: 2324: 2065: 1469: 1250: 389: 348: 336: 209: 180: 797: 560:"Pyruvate kinase deficiency: MedlinePlus Medical Encyclopedia" 892:"Pyruvate Kinase Deficiency. Information about PKD | Patient" 172: 160: 1167: 745: 2360: 2281:(Pompe's disease, glucosidase deficiency, formerly GSD-IIa) 248: 2392:(von Gierke's disease, glucose 6-phosphatase deficiency) 2237:(Hers' disease, liver glycogen phosphorylase deficiency) 2077: 1089:(Press release). Agios Pharmaceuticals. 17 February 2022 1032:
Disorders, National Organization for Rare (2003-01-01).
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Wijk, Richard van; Solinge, Wouter W. van (2005-12-15).
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Pyruvate kinase deficiency is due to a mutation in the
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Fatal congenital nonlysosomal cardiac glycogenosis (
1228: 836: 351:, potassium leaks out. Intracellular fluid becomes 297:Pyruvate kinase is the last enzyme involved in the 1191:"Prenatal Diagnosis of Pyruvate Kinase Deficiency" 1038:. Lippincott Williams & Wilkins. p. 496. 837:Zanella, A.; Bianchi, P.; Fermo, E. (2007-06-01). 2336:(Tarui's disease, phosphofructokinase deficiency) 2186:(Andersen's disease, branching enzyme deficiency) 993: 269:. Pyruvate kinase deficiency is most commonly an 2480: 2243:(McArdle's disease, myophosphorylase deficiency) 2231:(Cori's disease, debranching enzyme deficiency) 1420: 614: 404:has also been conducted as a treatment option. 1107: 1941: 1406: 2413:Glucose-6-phosphate dehydrogenase deficiency 1555:Glucose-6-phosphate dehydrogenase deficiency 668: 2429:6-phosphogluconate dehydrogenase deficiency 1439: 918: 376:(bilirubin) can be used to see whether the 277:that demonstrate symptoms of the disorder, 1948: 1934: 1911:Hereditary persistence of fetal hemoglobin 1413: 1399: 886: 884: 882: 61: 35: 2361:Mitochondrial pyruvate carrier deficiency 1863:Mean corpuscular hemoglobin concentration 1685:Warm antibody autoimmune hemolytic anemia 1206: 1188: 1031: 936: 854: 763: 694: 2489:Inborn errors of carbohydrate metabolism 2030:Inborn errors of renal tubular transport 1108:Beutler, Ernest; Gelbart, Terri (2000). 1079: 973:. AuthorHouse. 2013-02-06. p. 181. 720:Hematology basic principles and practice 717: 288: 159: 879: 339:pumps are the first to stop. Since the 2481: 1065:. John Wiley & Sons. p. 341. 554: 552: 550: 30:Erythrocyte pyruvate kinase deficiency 1929: 1468: 1394: 1058: 1027: 1025: 914: 912: 832: 830: 793: 791: 524: 522: 155: 2340:Triosephosphate isomerase deficiency 2287:(LAMP2 deficiency, formerly GSD-IIb) 1572:triosephosphate isomerase deficiency 741: 739: 664: 662: 610: 608: 497: 495: 493: 491: 489: 487: 485: 2354:Phosphoglucose isomerase deficiency 2255:(PGM1-CDG, CDG1T, formerly GSD-XIV) 1727:paroxysmal nocturnal hemoglobinuria 1695:Donath–Landsteiner hemolytic anemia 1675: 1171:Hematology: Diagnosis and Treatment 547: 474:Online Mendelian Inheritance in Man 13: 2385:Fructose bisphosphatase deficiency 2357:Phosphoglycerate kinase deficiency 1161: 1022: 909: 827: 788: 519: 305:(ADP) molecule, resulting in both 284: 14: 2505: 2249:(phosphorylase kinase deficiency) 1736:Microangiopathic hemolytic anemia 1707:Mixed autoimmune hemolytic anemia 1224: 736: 659: 605: 482: 2279:Glycogen storage disease type II 1767:Hemolytic disease of the newborn 1364: 765:10.1111/j.1365-2141.2005.05527.x 367:(differential blood counts) and 2380:Pyruvate carboxylase deficiency 2190:Adult polyglucosan body disease 2025:Glucose-galactose malabsorption 1101: 1052: 987: 961: 436: 2180:(glycogen synthase deficiency) 1700:Paroxysmal cold hemoglobinuria 752:British Journal of Haematology 711: 576: 467: 455:List of hematologic conditions 402:transplantation of bone marrow 281:can also show clinical signs. 125:which affects the survival of 1: 2253:Phosphoglucomutase deficiency 1208:10.1182/blood.V84.7.2354.2354 1059:Davey, Patrick (2010-02-01). 996:Molecular Aspects of Medicine 675:Journal of Clinical Pathology 460: 396:The most common treatment is 2494:Hereditary hemolytic anemias 2463:AMP-activated protein kinase 1651:Southeast Asian ovalocytosis 1639:Minkowski–Chauffard syndrome 1174:. Elsevier Health Sciences. 1035:NORD Guide to Rare Disorders 1008:10.1016/0098-2997(96)88345-2 839:"Pyruvate kinase deficiency" 671:"Pyruvate kinase deficiency" 617:Pediatric Blood & Cancer 530:"Pyruvate kinase deficiency" 383: 358: 7: 1189:Baroncian, Luciano (1994). 813:10.1016/j.jpeds.2011.05.043 669:Gordon-Smith, E.C. (1974). 448: 10: 2510: 2425:(Transketolase deficiency) 2345:Pyruvate kinase deficiency 1760:Drug-induced nonautoimmune 1741:Thrombotic microangiopathy 1567:pyruvate kinase deficiency 1382:Pyruvate kinase deficiency 1350:Pyruvate kinase deficiency 1097:– via GlobeNewswire. 938:10.1182/blood-2005-04-1622 687:10.1136/jcp.27.suppl_8.128 236:Luebering-Rapoport pathway 112:Pyruvate kinase deficiency 22:Pyruvate kinase deficiency 2437: 2405:Pentose phosphate pathway 2403: 2370: 2315: 2302: 2262: 2219: 2210: 2168: 2155: 2113: 2087: 2064: 2014: 1990: 1978: 1971:glycogen storage diseases 1888: 1828: 1779: 1746:Hemolytic–uremic syndrome 1666: 1658:Hereditary stomatocytosis 1646:Hereditary elliptocytosis 1539: 1524: 1477: 1461: 1432: 1313: 1232: 1129:10.1182/blood.V95.11.3585 801:The Journal of Pediatrics 588:rarediseases.info.nih.gov 417:oxidative phosphorylation 271:autosomal recessive trait 179:Mild to severe hemolytic 101: 88: 80: 70: 50: 43: 34: 26: 21: 2418:Transaldolase deficiency 1634:Hereditary spherocytosis 273:. Although it is mostly 242: 2203:(glycogenin deficiency) 2051:Fanconi-Bickel syndrome 1961:carbohydrate metabolism 1839:Mean corpuscular volume 1803:Diamond–Blackfan anemia 1755:Drug-induced autoimmune 1690:Cold agglutinin disease 1496:Plummer–Vinson syndrome 534:Genetics Home Reference 2040:Fructose malabsorption 1491:Iron-deficiency anemia 856:10.3324/haematol.11469 507:emedicine.medscape.com 380:has been compromised. 307:adenosine triphosphate 294: 279:compound heterozygotes 167: 2450:Primary hyperoxaluria 2350:Aldolase A deficiency 2100:Essential fructosuria 1967:metabolism disorders 1810:Pure red cell aplasia 1577:hexokinase deficiency 970:Haematology Made Easy 718:al.], Ronald (2013). 343:is more permeable to 303:adenosine diphosphate 292: 251:gene. There are four 163: 84:Mutation in PKLR gene 2105:Fructose intolerance 2001:Congenital alactasia 1815:Sideroblastic anemia 1623:Hemoglobin C disease 1509:Megaloblastic anemia 1062:Medicine at a Glance 2006:Sucrose intolerance 1614:Sickle cell disease 232:phosphoenolpyruvate 225:Shortness of breath 186:Cholecystolithiasis 142:autosomal recessive 76:Anemia, tachycardia 45:Phosphoenolpyruvate 2053:(GLUT2 deficiency) 2047:(GLUT1 deficiency) 1901:Sulfhemoglobinemia 1314:External resources 398:blood transfusions 315:glycolytic pathway 299:glycolytic process 295: 267:missense mutations 168: 156:Signs and symptoms 119:metabolic disorder 2476: 2475: 2399: 2398: 2363:(MPC1 deficiency) 2298: 2297: 2294: 2293: 2151: 2150: 2147: 2146: 2060: 2059: 1923: 1922: 1919: 1918: 1906:Reticulocytopenia 1896:Methemoglobinemia 1884: 1883: 1775: 1774: 1715: 1714: 1514:Pernicious anemia 1457: 1456: 1449:Polycythemia vera 1359: 1358: 1123:(11): 3585–3588. 931:(13): 4034–4042. 629:10.1002/pbc.25922 109: 108: 105:Blood transfusion 90:Diagnostic method 16:Medical condition 2501: 2313: 2312: 2272: 2222: 2217: 2216: 2166: 2165: 2123: 2093: 2085: 2084: 2075: 2074: 2034:Renal glycosuria 1988: 1987: 1950: 1943: 1936: 1927: 1926: 1673: 1672: 1587:hemoglobinopathy 1537: 1536: 1475: 1474: 1466: 1465: 1437: 1436: 1415: 1408: 1401: 1392: 1391: 1368: 1367: 1230: 1229: 1220: 1210: 1201:(7): 2354–2356. 1185: 1155: 1154: 1152: 1151: 1145: 1139:. Archived from 1114: 1105: 1099: 1098: 1096: 1094: 1083: 1077: 1076: 1056: 1050: 1049: 1029: 1020: 1019: 991: 985: 984: 965: 959: 958: 940: 916: 907: 906: 904: 903: 898:. 19 August 2011 888: 877: 876: 858: 834: 825: 824: 795: 786: 785: 767: 743: 734: 733: 715: 709: 708: 698: 666: 657: 656: 612: 603: 602: 600: 599: 590:. Archived from 580: 574: 573: 571: 570: 556: 545: 544: 542: 541: 526: 517: 516: 514: 513: 499: 480: 471: 146:hemolytic anemia 66: 65: 39: 19: 18: 2509: 2508: 2504: 2503: 2502: 2500: 2499: 2498: 2479: 2478: 2477: 2472: 2433: 2395: 2372:Gluconeogenesis 2366: 2290: 2263: 2258: 2221:Extralysosomal: 2220: 2206: 2143: 2139:GALE deficiency 2135:GALT deficiency 2130:GALK deficiency 2114: 2109: 2088: 2056: 2045:De Vivo Disease 2010: 1984:(extracellular) 1983: 1974: 1968: 1954: 1924: 1915: 1880: 1824: 1783: 1771: 1711: 1662: 1528: 1520: 1453: 1428: 1426:red blood cells 1419: 1389: 1388: 1387: 1369: 1365: 1360: 1355: 1354: 1309: 1308: 1241: 1227: 1182: 1164: 1162:Further reading 1159: 1158: 1149: 1147: 1143: 1112: 1106: 1102: 1092: 1090: 1085: 1084: 1080: 1073: 1057: 1053: 1046: 1030: 1023: 992: 988: 981: 967: 966: 962: 917: 910: 901: 899: 890: 889: 880: 835: 828: 796: 789: 744: 737: 730: 716: 712: 667: 660: 613: 606: 597: 595: 582: 581: 577: 568: 566: 564:www.nlm.nih.gov 558: 557: 548: 539: 537: 528: 527: 520: 511: 509: 501: 500: 483: 472: 468: 463: 451: 439: 413:reticulocytosis 386: 361: 287: 285:Pathophysiology 253:pyruvate kinase 245: 196:Hemochromatosis 158: 150:G6PD deficiency 127:red blood cells 123:pyruvate kinase 94:Physical exam, 60: 17: 12: 11: 5: 2507: 2497: 2496: 2491: 2474: 2473: 2471: 2470: 2459: 2454: 2453: 2452: 2441: 2439: 2435: 2434: 2432: 2431: 2426: 2420: 2415: 2409: 2407: 2401: 2400: 2397: 2396: 2394: 2393: 2387: 2382: 2376: 2374: 2368: 2367: 2365: 2364: 2358: 2355: 2352: 2347: 2342: 2337: 2331: 2321: 2319: 2310: 2300: 2299: 2296: 2295: 2292: 2291: 2289: 2288: 2282: 2275: 2273: 2260: 2259: 2257: 2256: 2250: 2244: 2238: 2232: 2225: 2223: 2214: 2212:Glycogenolysis 2208: 2207: 2205: 2204: 2198: 2196:Lafora disease 2193: 2187: 2181: 2174: 2172: 2163: 2153: 2152: 2149: 2148: 2145: 2144: 2142: 2141: 2132: 2126: 2124: 2111: 2110: 2108: 2107: 2102: 2096: 2094: 2082: 2079:Monosaccharide 2072: 2062: 2061: 2058: 2057: 2055: 2054: 2048: 2042: 2037: 2027: 2021: 2019: 2016:Monosaccharide 2012: 2011: 2009: 2008: 2003: 1997: 1995: 1985: 1976: 1975: 1965:monosaccharide 1953: 1952: 1945: 1938: 1930: 1921: 1920: 1917: 1916: 1914: 1913: 1908: 1903: 1898: 1892: 1890: 1886: 1885: 1882: 1881: 1879: 1878: 1877: 1876: 1871: 1859: 1858: 1857: 1852: 1847: 1834: 1832: 1826: 1825: 1823: 1822: 1817: 1812: 1805: 1800: 1798:Fanconi anemia 1791: 1789: 1777: 1776: 1773: 1772: 1770: 1769: 1763: 1762: 1757: 1751: 1750: 1749: 1748: 1738: 1732: 1731: 1730: 1729: 1716: 1713: 1712: 1710: 1709: 1704: 1703: 1702: 1692: 1687: 1681: 1679: 1670: 1664: 1663: 1661: 1660: 1655: 1654: 1653: 1643: 1642: 1641: 1625: 1620: 1611: 1610: 1609: 1604: 1599: 1582: 1581: 1580: 1579: 1574: 1569: 1557: 1545: 1543: 1534: 1522: 1521: 1519: 1518: 1517: 1516: 1501: 1500: 1499: 1498: 1483: 1481: 1472: 1463: 1459: 1458: 1455: 1454: 1452: 1451: 1445: 1443: 1434: 1430: 1429: 1418: 1417: 1410: 1403: 1395: 1370: 1363: 1362: 1361: 1357: 1356: 1353: 1352: 1341: 1330: 1318: 1317: 1315: 1311: 1310: 1307: 1306: 1295: 1284: 1273: 1258: 1242: 1237: 1236: 1234: 1233:Classification 1226: 1225:External links 1223: 1222: 1221: 1186: 1181:978-1455776887 1180: 1163: 1160: 1157: 1156: 1100: 1078: 1071: 1051: 1044: 1021: 1002:(2): 143–170. 986: 979: 960: 908: 878: 849:(6): 721–723. 826: 807:(4): 695–697. 787: 735: 728: 710: 681:(1): 128–133. 658: 623:(5): 771–772. 604: 575: 546: 518: 481: 465: 464: 462: 459: 458: 457: 450: 447: 443:gene frequency 438: 435: 385: 382: 360: 357: 286: 283: 244: 241: 228: 227: 222: 217: 212: 206: 201: 200:Icteric sclera 198: 193: 188: 183: 157: 154: 121:of the enzyme 107: 106: 103: 99: 98: 92: 86: 85: 82: 78: 77: 74: 68: 67: 54: 48: 47: 41: 40: 32: 31: 28: 24: 23: 15: 9: 6: 4: 3: 2: 2506: 2495: 2492: 2490: 2487: 2486: 2484: 2468: 2464: 2460: 2458: 2455: 2451: 2448: 2447: 2446: 2445:Hyperoxaluria 2443: 2442: 2440: 2436: 2430: 2427: 2424: 2421: 2419: 2416: 2414: 2411: 2410: 2408: 2406: 2402: 2391: 2388: 2386: 2383: 2381: 2378: 2377: 2375: 2373: 2369: 2362: 2359: 2356: 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Retrieved 506: 469: 440: 437:Epidemiology 429: 411:production ( 406: 395: 387: 378:gall bladder 369:reticulocyte 365:blood counts 362: 334: 330:mitochondria 322:erythrocytes 319: 296: 264: 260:erythrocytes 246: 229: 204:Splenomegaly 169: 148:, following 111: 110: 2247:GSD type IX 2235:GSD type VI 2201:GSD type XV 2184:GSD type IV 1982:, transport 1874:hypochromic 1830:Blood tests 1592:Thalassemia 1550:enzymopathy 1479:Nutritional 1323:MedlinePlus 1093:19 February 421:splenectomy 409:erythrocyte 275:homozygotes 191:Tachycardia 27:Other names 2483:Categories 2457:Pentosuria 2390:GSD type I 2317:Glycolysis 2241:GSD type V 2178:GSD type 0 2081:catabolism 1994:catabolism 1969:Including 1855:macrocytic 1850:microcytic 1845:normocytic 1808:Acquired: 1794:Hereditary 1561:glycolysis 1541:Hereditary 1345:Patient UK 1299:DiseasesDB 1150:2016-11-25 902:2015-11-11 598:2015-11-11 569:2015-11-11 540:2015-11-11 512:2015-11-11 461:References 374:bile salts 309:(ATP) and 256:isoenzymes 165:Gallstones 57:Hematology 2265:Lysosomal 2116:Galactose 2018:transport 1526:Hemolytic 1334:eMedicine 947:0006-4971 865:0390-6078 774:1365-2141 637:1545-5017 431:Mitapivat 425:hemolysis 384:Treatment 359:Diagnosis 353:hypotonic 345:potassium 138:recessive 131:autosomal 116:inherited 102:Treatment 52:Specialty 2161:glycogen 2090:Fructose 1784:(mostly 1781:Aplastic 1721:membrane 1668:Acquired 1629:membrane 1529:(mostly 1422:Diseases 1339:med/1980 1137:10828047 955:16051738 873:17550841 821:21784452 782:15982340 653:42964783 645:26836632 476:(OMIM): 449:See also 311:pyruvate 215:Jaundice 134:dominant 72:Symptoms 2304:Glucose 2157:Glucose 2070:glucose 1980:Sucrose 1372:Scholia 1293:C564858 1217:7919353 1016:8813716 896:Patient 705:4536359 696:1347209 326:nucleus 324:lack a 320:Mature 220:Fatigue 129:. Both 2467:PRKAG2 2325:MODY 2 2192:(APBD) 2066:Hexose 1786:normo- 1531:normo- 1505:Macro- 1487:Micro- 1470:Anemia 1374:has a 1328:001197 1282:266200 1215:  1178:  1135:  1069:  1042:  1014:  977:  953:  945:  871:  863:  819:  780:  772:  726:  703:  693:  651:  643:  635:  478:266200 390:anemia 349:sodium 337:ATPase 293:ATP-3D 210:ulcers 181:Anemia 114:is an 81:Causes 59:  2438:Other 2423:SDDHD 1973:(GSD) 1889:Other 1618:trait 1607:delta 1597:alpha 1376:topic 1304:11090 1271:282.3 1256:D55.2 1195:Blood 1144:(PDF) 1117:Blood 1113:(PDF) 925:Blood 649:S2CID 347:than 243:Cause 173:viral 2329:HHF3 1677:AIHA 1602:beta 1288:MeSH 1277:OMIM 1266:9-CM 1213:PMID 1176:ISBN 1133:PMID 1095:2022 1067:ISBN 1040:ISBN 1012:PMID 975:ISBN 951:PMID 943:ISSN 869:PMID 861:ISSN 817:PMID 778:PMID 770:ISSN 724:ISBN 701:PMID 679:s3-8 641:PMID 633:ISSN 328:and 249:PKLR 208:Leg 136:and 2308:CAC 2269:LSD 1959:of 1424:of 1262:ICD 1247:ICD 1203:doi 1125:doi 1004:doi 933:doi 929:106 851:doi 809:doi 805:159 760:doi 756:130 691:PMC 683:doi 625:doi 445:). 96:CBC 2485:: 2306:⇄ 2271:): 2159:⇄ 2118:/ 2068:→ 1963:: 1796:: 1507:: 1489:: 1348:: 1337:: 1326:: 1302:: 1291:: 1280:: 1269:: 1254:: 1251:10 1211:. 1199:84 1197:. 1193:. 1131:. 1121:95 1119:. 1115:. 1024:^ 1010:. 1000:17 998:. 949:. 941:. 927:. 923:. 911:^ 894:. 881:^ 867:. 859:. 847:92 845:. 841:. 829:^ 815:. 803:. 790:^ 776:. 768:. 754:. 750:. 738:^ 699:. 689:. 677:. 673:. 661:^ 647:. 639:. 631:. 621:63 619:. 607:^ 586:. 562:. 549:^ 532:. 521:^ 505:. 484:^ 152:. 2469:) 2327:/ 2267:( 2137:/ 2122:: 2092:: 2036:) 2032:( 1949:e 1942:t 1935:v 1788:) 1631:: 1616:/ 1589:: 1552:: 1533:) 1462:↓ 1433:↑ 1414:e 1407:t 1400:v 1386:. 1264:- 1249:- 1239:D 1219:. 1205:: 1184:. 1153:. 1127:: 1075:. 1048:. 1018:. 1006:: 983:. 957:. 935:: 905:. 875:. 853:: 823:. 811:: 784:. 762:: 732:. 707:. 685:: 655:. 627:: 601:. 572:. 543:. 515:. 171:(

Index


Phosphoenolpyruvate
Specialty
Hematology
Edit this on Wikidata
Symptoms
Diagnostic method
CBC
inherited
metabolic disorder
pyruvate kinase
red blood cells
autosomal
dominant
recessive
autosomal recessive
hemolytic anemia
G6PD deficiency

Gallstones
viral
Anemia
Cholecystolithiasis
Tachycardia
Hemochromatosis
Splenomegaly
ulcers
Jaundice
Fatigue
Shortness of breath

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