Publications by authors named "A Ziagaki"

Background: Despite a phenylalanine (Phe) restrictive diet, most adult patients with 'classical' phenylketonuria (PKU) maintain life-long Phe concentrations above the normal range and receive tyrosine (Tyr) and protein-enriched diets to maintain acceptable concentrations and ensure normal development. While these interventions are highly successful in preventing adverse neuropsychiatric complications, their long- term consequences are incompletely explored. We observed early cardiomyopathic characteristics and associated hemodynamic changes in adult PKU patients and present here the results of a longitudinal evaluation of cardiac phenotype.

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  • Clinical pathway recommendations (CPR) provide guidance on managing specific diagnoses, in this case, Pompe disease, a metabolic disorder caused by a deficiency in a specific enzyme.
  • The CPR document was created by a working group from MetabERN, which focuses on metabolic diseases, and involved systematic literature searches and quality assessments based on established methodologies.
  • This document aims to standardize care for Pompe disease patients by addressing various aspects including pathophysiology, diagnosis, treatment, and follow-up strategies for healthcare providers.
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  • Acid sphingomyelinase deficiency (ASMD) is a rare lysosomal storage disease in Germany with various clinical forms, necessitating more data on survival and health outcomes in affected patients.
  • A retrospective study analyzed medical records of 33 patients diagnosed with ASMD type B or A/B between 1990 and 2021, focusing on demographics, medical history, hospitalizations, and mortality rates.
  • The study found a high mortality rate, especially in patients under 18, with median ages at diagnosis of 8 years for type B and 1 year for type A/B, revealing that liver and respiratory issues were the leading causes of death.
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Granulomatosis or eosinophilic granulomatosis with polyangiitis (GPA/EGPA) can affect multiple organs resulting in heterogeneous symptoms and phenotypes. Pituitary gland dysfunction rarely occurs in GPA (1-3%) and even less in EGPA (two case reports). Here, we report a case of a 51-year-old female patient with a four-year history of EGPA who presented with new polydipsia and polyuria.

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