About Adult Polyglucosan Body Disease

What is Adult Polyglucosan Body Disease?

Adult Polyglucosan Body Disease (APBD) is a rare, progressive neurological disorder that affects the central nervous system. It is characterized by the accumulation of polyglucosan bodies in the brain, spinal cord, and peripheral nerves. Symptoms of APBD include progressive muscle weakness, difficulty walking, and difficulty speaking. Other symptoms may include seizures, dementia, and difficulty swallowing. There is currently no cure for APBD, but treatments are available to help manage symptoms.

What are the symptoms of Adult Polyglucosan Body Disease?

The most common symptoms of Adult Polyglucosan Body Disease (APBD) include:

- Muscle weakness
- Difficulty walking
- Loss of coordination
- Loss of bladder and/or bowel control
- Speech and swallowing difficulties
- Cognitive impairment
- Seizures
- Visual disturbances
- Fatigue
- Pain in the legs and arms
- Abnormal gait
- Difficulty with balance
- Muscle cramps
- Difficulty with fine motor skills
- Difficulty with daily activities

What are the causes of Adult Polyglucosan Body Disease?

Adult Polyglucosan Body Disease (APBD) is a rare, inherited neurological disorder caused by mutations in the GBE1 gene. This gene provides instructions for making an enzyme called glycogen branching enzyme, which is involved in the breakdown of glycogen, a form of sugar stored in the body. Mutations in the GBE1 gene lead to a deficiency of this enzyme, which causes an accumulation of abnormal polyglucosan bodies in the cells of the brain and other organs. This accumulation of polyglucosan bodies can lead to a variety of neurological symptoms, including difficulty walking, muscle weakness, and seizures.

What are the treatments for Adult Polyglucosan Body Disease?

Currently, there is no known cure for Adult Polyglucosan Body Disease (APBD). Treatment focuses on managing symptoms and preventing complications. Treatment options may include:

• Physical therapy to help maintain mobility and strength

• Occupational therapy to help with daily activities

• Speech therapy to help with communication

• Dietary modifications to help manage blood sugar levels

• Medications to help manage muscle spasms and pain

• Surgery to help relieve pressure on the spinal cord or to remove excess fluid from the brain

• Assistive devices such as wheelchairs, walkers, and canes to help with mobility

• Regular monitoring of kidney and liver function

What are the risk factors for Adult Polyglucosan Body Disease?

1. Age: Adult Polyglucosan Body Disease (APBD) typically affects adults between the ages of 40 and 70.

2. Gender: APBD is more common in males than females.

3. Genetics: APBD is caused by mutations in the GBE1 gene, which is inherited in an autosomal recessive pattern.

4. Ethnicity: APBD is more common in people of Ashkenazi Jewish descent.

Is there a cure/medications for Adult Polyglucosan Body Disease?

At this time, there is no cure for Adult Polyglucosan Body Disease (APBD). However, there are medications that can help manage the symptoms of APBD. These medications include anticonvulsants, muscle relaxants, and medications to reduce spasticity. Additionally, physical therapy and occupational therapy can help improve mobility and reduce pain.