Monday 10 October 2016

An infant has hepatorenomegaly, hypoglycemia hyperlipidemia, aciodsis | PGI based MCQs


An infant has hepatorenomegaly, hypoglycemia hyperlipidemia, aciodsis& normal structured glycogen deposition in liver. The most probable diagnosis is:

A. Hers disease 
B. Von Gerke’s disease
C. Con’s disease
D. Andersons disease
E. Pompes disease


The Answer is. (B) Von Gerke’s disease
In von Gierke’s disease there is growth retardation, enlarged liver and kidney, hypoglycemia elevated blood lactate, cholesterol, triglyceride and uric acid.
— In von Gierke’s disease the liver biopsy shows hepatocytes distended with glycogen and fat with large prominent lipid vacuoles. There is little associated fibrosis
Related MCQ’s
Symptoms

Constant hunger and need to eat often
Easy bruising and nosebleeds
Fatigue, Irritability
Puffy cheeks, thin chest and limbs, and swollen belly
Signs:
Delayed puberty
Enlarged liver, Gout, Inflammatory bowel disease
hypoglycemia
Stunting

MCQ - usually diagnosed before age 1.