raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:365

Glycogen storage disease due to acid maltase deficiency

Synonyms: Alpha-1,4-glucosidase acid deficiency · GSD due to acid maltase deficiency · GSD type 2 · GSD type II · Glycogen storage disease type 2 · Glycogen storage disease type II · Glycogenosis due to acid maltase deficiency · Glycogenosis type 2 · Glycogenosis type II · Pompe disease

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Adult, Antenatal, Childhood, Infancy, Neonatal
Status
active

A rare lysosomal storage disease characterized by lysosomal accumulation of glycogen particularly in skeletal, cardiac, and respiratory muscles, as well as the liver and nervous system, due to acid maltase deficiency. The clinical spectrum comprises infantile-onset disease with severe hypertrophic cardiomyopathy, generalized muscle weakness, poor feeding and failure to thrive, and respiratory insufficiency, and late-onset disease manifesting before or after twelve months of age without cardiomyopathy, with proximal muscle weakness and respiratory insufficiency.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGlycogen storage disease due to acid maltase deficiencyAlpha-1,4-glucosidase acid deficiency · GSD due to acid maltase deficiency · GSD type 2 · GSD type II · Glycogen storage disease type 2 · Glycogen storage disease type II · Glycogenosis due to acid maltase deficiency · Glycogenosis type 2 · Glycogenosis type II · Pompe disease
frGlycogénose par déficit en maltase acideDéficit en alpha-1,4-glucosidase acide · GSD type II · Glycogénose type 2 · Glycogénose type II · Maladie de Pompe
deGlykogenose Typ 2Alpha-1,4-Glukosidase-Mangel · GSD Typ 2 · GSD Typ II · GSD durch Saure-Maltase-Mangel · Glykogen-Speicherkrankheit Typ 2 · Glykogen-Speicherkrankheit Typ II · Glykogen-Speicherkrankheit durch Saure-Maltase-Mangel · Glykogenose Typ II · Glykogenose durch Saure-Maltase-Mangel · Pompe-Krankheit
esEnfermedad por almacenamiento de glucógeno por deficiencia de maltasa ácidaDeficiencia de alfa-1,4-glucosidasa ácida · Enfermedad de Pompe · Enfermedad de almacenamiento de glucógeno tipo 2 · Enfermedad de almacenamiento de glucógeno tipo II · GSD por deficiencia de maltasa ácida · GSD tipo 2 · GSD tipo II · Glucogenosis por deficiencia de maltasa ácida · Glucogenosis tipo 2 · Glucogenosis tipo II
itMalattia da deposito di glicogeno da deficit di maltasi acidaDeficit di alfa-1,4-glucosidasi acida · GSD da deficit di maltasi acida · GSD, tipo 2 · Glicogenosi, tipo 2 · Malattia da deposito di glicogeno, tipo 2 · Malattia di Pompe
nlGlycogeenstapelingsziekte door zure-maltasedeficiëntieDeficiëntie van zure alfa-1,4-glucosidase · GSD door zure-maltasedeficiëntie · GSD type 2 · GSD type II · Glycogeenstapelingsziekte type 2 · Glycogeenstapelingsziekte type II · Glycogenose door zure-maltasedeficiëntie · Glycogenose type 2 · Glycogenose type II · Ziekte van Pompe
ptDoença de armazenamento de glicogénio por deficiência de maltase ácidaDeficiência de alfa-1,4-glucosidase ácida · Deficiência de maltase ácida · Doença de Pompe · Doença de armazenamento de glicogénio tipo 2 · GSD tipo 2 · GSD tipo II · Glicogenose por deficiência de maltase ácida · Glicogenose tipo 2 · Glicogenose tipo II
plChoroba spichrzania glikogenu spowodowana niedoborem kwaśnej maltazyNiedobór kwaśnej alfa-1,4-glukozydazy · Choroba Pompego · Choroba spichrzania glikogenu typu 2 · Glikogenoza spowodowana niedoborem kwaśnej maltazy · Glikogenoza typu 2 · GSD spowodowana niedoborem kwaśnej maltazy · GSD typu 2
csGlykogenóza způsobená deficitem kyselé maltázyDeficit lysosomální alfa-1,4-glukosidázy · GSD typ 2 · GSD II · Glykogenóza, typ 2 · Glykogenóza, typ II · Glykogenóza II. typu · Pompeho choroba · Deficit kyselé maltázy · GSD způsobená deficitem kyselé maltázy
ukХвороба накопичення глікогену, зумовлена дефіцитом кислої мальтазиДефіцит кислої альфа-1,4-глюкозидазної · Глікогенова хвороба 2-го типу · Хвороба накопичення глікогену II типу · Глікогеноз внаслідок дефіциту кислої мальтази · Глікогеноз 2 типу · Глікогеноз II типу · GSD внаслідок дефіциту кислої мальтази · GSD тип 2 · GSD тип II · Хвороба Помпе
zh酸性麦芽糖酶缺乏所致糖原贮积病α-1,4-葡糖苷酶缺乏症
trAsit maltaz eksikliğine bağlı glikojen depo hastalığıGSD tip 2 · GSD tip II · Pompe hastalığı · Glikojenoz tip 2 · Glikojenoz tip II · Glikojen depo hastalığı tip 2 · Glikojen depo hastalığı tip II · Asit maltaz eksikliğine bağlı GSD · Alfa-1,4-glukozidaz asit eksikliği · Asit maltaz eksikliğine bağlı glikojenoz

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM232300Evalidated
ICD-10E74.0NTBTinclusionvalidated
ICD-115C51.3NTBTindexvalidated
MONDO0009290Evalidated
MeSHD006009Evalidated
UMLSC0017921Evalidated
GARD5714Evalidated
MedDRA10053185Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (6):

Children (2):

4

Genes

0 direct · 2 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GAAORPHA:308552Glycogen storage disease due to acid maltase deficiency, infantile onsetDisease-causing germline mutation(s) inAssessedHGNC:4065ENSG0000017129860680017q25.3alpha glucosidase
GAAORPHA:420429Glycogen storage disease due to acid maltase deficiency, late-onsetDisease-causing germline mutation(s) inAssessedHGNC:4065ENSG0000017129860680017q25.3alpha glucosidase
5

Prevalence and incidence

14 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.8 / 100 000EuropeValue and classNot yet validatedORPHANET
Prevalence at birth1-9 / 1 000 0000.17 / 100 000PortugalValue and classValidated14685153[PMID]
Prevalence at birth1-9 / 1 000 0000.83 / 100 000ItalyValue and classValidated11953730[PMID]
Prevalence at birth1-9 / 100 0002.25 / 100 000NetherlandsValue and classValidated10480370[PMID]_10482961[PMID]
Prevalence at birth1-9 / 1 000 0000.37 / 100 000Czech RepublicValue and classValidated20490927[PMID]
Prevalence at birth1-5 / 10 00011.5 / 100 000AustriaValue and classValidated22133539[PMID]
Prevalence at birth1-9 / 100 0002.5 / 100 000United StatesValue and classValidated9738873[PMID]
Prevalence at birth1-9 / 1 000 0000.68 / 100 000AustraliaValue and classValidated9918480[PMID]
Prevalence at birth1-9 / 100 0002 / 100 000ChinaValue and classValidated3106710[PMID]
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET
Prevalence at birth1-9 / 1 000 0000.72 / 100 000SwedenValue and classValidated25274184[PMID]
Prevalence at birth1-9 / 100 0002.3 / 100 000IsraelValue and classValidated33239050[PMID]
Prevalence at birth1-9 / 100 0004.8 / 100 000Specific populationValue and classValidated33239050[PMID]
Point prevalence1-9 / 100 0003 / 100 000EuropeValue and classValidatedEuropean Medicines Agency 2018[OTHER]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

72 annotations · validated 2024-03-19
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0034932Decreased circulating acid maltase activity
HP:0001324Muscle weakness
HP:0010471Oligosacchariduria
HP:0009073Progressive proximal muscle weakness
Frequent (79-30%)
HP:0001284Areflexia
HP:0100595Camptocormia
HP:0001640Cardiomegaly
HP:0000750Delayed speech and language development
HP:0003551Difficulty climbing stairs
HP:0003458EMG: myopathic abnormalities
HP:0031964Elevated circulating alanine aminotransferase concentration
HP:0003236Elevated circulating creatine kinase concentration
HP:0003546Exercise intolerance
HP:0002875Exertional dyspnea
HP:0001508Failure to thrive
HP:0012378Fatigue
HP:0008872Feeding difficulties in infancy
HP:0001288Gait disturbance
HP:0030231Glycogen accumulation in muscle fiber lysosomes
HP:0003391Gowers sign
HP:0001510Growth delay
HP:0030148Heart murmur
HP:0002240Hepatomegaly
HP:0000338Hypomimic face
HP:0001265Hyporeflexia
HP:0025435Increased circulating lactate dehydrogenase concentration
HP:0001712Left ventricular hypertrophy
HP:0007340Lower limb muscle weakness
HP:0001270Motor delay
HP:0003326Myalgia
HP:0002205Recurrent respiratory infections
HP:0002093Respiratory insufficiency
HP:0002747Respiratory insufficiency due to muscle weakness
HP:0011947Respiratory tract infection
HP:0001308Tongue fasciculations
Occasional (29-5%)
HP:3000062Abnormal internal carotid artery morphology
HP:0031310Basilar artery calcification
HP:0012532Chronic pain
HP:0006824Cranial nerve paralysis
HP:0009113Diaphragmatic weakness
HP:0004944Dilatation of the cerebral artery
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0000297Facial hypotonia
HP:0030196Fatigable weakness of respiratory muscles
HP:0030195Fatigable weakness of swallowing muscles
HP:0008947Floppy infant
HP:0003324Generalized muscle weakness
HP:0000365Hearing impairment
HP:0003307Hyperlordosis
HP:0001639Hypertrophic cardiomyopathy
HP:0005216Impaired mastication
HP:0002540Inability to walk
HP:0032092Left ventricular outflow tract obstruction
HP:0000158Macroglossia
HP:0012764Orthopnea
HP:0000939Osteoporosis
HP:0000508Ptosis
HP:0002098Respiratory distress
HP:0002878Respiratory failure
HP:0002650Scoliosis
HP:0005165Shortened PR interval
HP:0010535Sleep apnea
HP:0012727Thoracic aortic aneurysm
HP:0000183Tongue muscle weakness
HP:0002326Transient ischemic attack
HP:0002633Vasculitis
Very rare (<4-1%)
HP:0100750Atelectasis
HP:0002607Bowel incontinence
HP:0100543Cognitive impairment
HP:0001371Flexion contracture
HP:0007002Motor axonal neuropathy

Run the differential on the 4 obligate / very frequent terms

Annotation source: 20301438[PMID]_33458579[PMID]_34156025[PMID]_17190962[PMID]_30117059[PMID]

7

Sources for this card