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Pompe Disease Overview and Treatment Options

Pompe disease is a rare genetic disorder affecting muscle function due to an enzyme deficiency. Explore its causes, symptoms, diagnosis process, and current treatment options including enzyme replacement therapy.

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Written by Dr. Siri Nallapu

Reviewed by Dr. M L Ezhilarasan MBBS

Last updated on 25th Aug, 2025

Pompe Disease Overview and Treatment Options

Living with a rare condition like Pompe disease can be challenging, but understanding the disease and knowing the available treatment options can help manage it better. This article aims to provide clear and compassionate information about Pompe disease, its symptoms, causes, and ways to improve quality of life.

What is Pompe Disease?

Pompe disease (also known as glycogen storage disease type II) is a rare genetic disorder that affects muscle function. It occurs due to the lack or deficiency of an enzyme called acid alpha-glucosidase (GAA), which helps break down glycogen (a stored form of sugar) in the body. When this enzyme is missing, glycogen builds up in muscles, especially the heart and skeletal muscles, leading to weakness and other complications.

Pompe disease can appear at any age, but it is categorised into two main types:

1. Infantile-onset Pompe disease: Symptoms appear within the first few months of life and progress rapidly.
2. Late-onset Pompe disease: Symptoms may appear later in childhood or adulthood and progress more slowly.

Symptoms of Pompe Disease

The symptoms vary depending on the type and severity of the disease.

Infantile-Onset Pompe Disease

•    Muscle weakness (floppy baby syndrome)
•    Poor head control
•    Difficulty feeding and swallowing
•    Enlarged heart (cardiomegaly)
•    Breathing difficulties
•    Delayed motor milestones (like sitting or crawling)

Late-Onset Pompe Disease

•    Progressive muscle weakness (especially in legs and trunk)
•    Difficulty climbing stairs or standing up
•    Breathing problems (due to weakened respiratory muscles)
•    Fatigue and tiredness
•    Frequent respiratory infections

If you or your child experience any of these symptoms, it’s important to consult a doctor for proper diagnosis.

Consult Top Specialists

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

68 Cashback

450

No Booking Fees

Dr. Paras Gangwal, General Physician/ Internal Medicine Specialist

Dr. Paras Gangwal

General Physician/ Internal Medicine Specialist

28 Years • MBBS,MD General Medicine

Delhi

Dr Paras Gangwal Clinic, Delhi

1500

1200

Dr. Harshendra Jaiswal, General Physician/ Internal Medicine Specialist

Dr. Harshendra Jaiswal

General Physician/ Internal Medicine Specialist

12 Years • MBBS , MD (General medicine)

Kolkata

108 DHANA DHANVANTARI Clinic, Kolkata

recommendation

88%

(25+ Patients)

600

500

Dr Chilukuri Venkata Reddy, General Physician

Dr Chilukuri Venkata Reddy

General Physician

4 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Naziya Rahim Bhatia, General Surgeon

Dr. Naziya Rahim Bhatia

General Surgeon

7 Years • MBBS ,MS

Bengaluru

Apollo Clinic, Sarjapur Road, Bengaluru

400

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What Causes Pompe Disease?

Pompe disease is caused by genetic mutations in the GAA gene, which is responsible for producing the enzyme that breaks down glycogen. It is an autosomal recessive disorder, meaning a child inherits two defective genes (one from each parent) to develop the disease.

If only one parent passes the defective gene, the child becomes a carrier but usually does not show symptoms.

How is Pompe Disease Diagnosed?

Since Pompe disease is rare, diagnosis may take time. Doctors may recommend:
•    Enzyme activity test: Measures GAA enzyme levels in blood or skin cells.
•    Genetic testing: Identifies mutations in the GAA gene.
•    Muscle biopsy: Checks for glycogen buildup in muscle tissue.
•    Heart and lung function tests: Assesses muscle weakness impact.

Early diagnosis is crucial to manage symptoms effectively.

Treatment Options for Pompe Disease

While there is no cure yet, treatments can help manage symptoms and improve quality of life.

1. Enzyme Replacement Therapy (ERT)

•    The most common treatment involves intravenous (IV) infusions of synthetic GAA enzyme (e.g., alglucosidase alfa).
•    Helps reduce glycogen buildup and improve muscle strength.
•    Regular infusions are needed, usually every 1-2 weeks.

2. Supportive Therapies

•    Physical therapy: Helps maintain muscle strength and mobility.
•    Respiratory support: Breathing exercises or ventilators if needed.
•    Dietary management: A high-protein, low-carbohydrate diet may help some patients.

3. Emerging Treatments

•    Gene therapy: Research is ongoing to correct the genetic defect.
•    Substrate reduction therapy: Aims to reduce glycogen production.

Living with Pompe Disease: Helpful Tips

Managing Pompe disease requires a multidisciplinary approach. Here are some ways to improve daily life:

•    Stay Active: Gentle exercises (as recommended by a physiotherapist) can help maintain muscle function.
•    Monitor Breathing: Regular lung function tests can detect respiratory issues early.
•    Eat a Balanced Diet: Consult a nutritionist for a diet plan that supports muscle health.
•    Join Support Groups: Connecting with others facing Pompe disease can provide emotional support.

When to See a Doctor?

If you or your loved one experiences:
•    Unexplained muscle weakness
•    Breathing difficulties
•    Frequent fatigue
•    Delayed motor skills in infants

It’s important to seek medical advice promptly. Early intervention can make a significant difference.

How Apollo 24|7 Can Help?

At Apollo 24|7, we provide expert consultations and diagnostic tests for rare genetic disorders like Pompe disease. You can:
•    Book an appointment with a specialist.
•    Schedule genetic testing for early detection.
•    Access personalised treatment plans.

Conclusion

Pompe disease is a challenging condition, but with the right medical care and lifestyle adjustments, patients can lead fulfilling lives. If you suspect symptoms, don’t hesitate to reach out to a healthcare provider for guidance.

For expert advice, consult a specialist on Apollo 24|7 today. Early diagnosis and treatment can make a world of difference!

Consult Top Specialists

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

68 Cashback

450

No Booking Fees

Dr. Paras Gangwal, General Physician/ Internal Medicine Specialist

Dr. Paras Gangwal

General Physician/ Internal Medicine Specialist

28 Years • MBBS,MD General Medicine

Delhi

Dr Paras Gangwal Clinic, Delhi

1500

1200

Dr. Harshendra Jaiswal, General Physician/ Internal Medicine Specialist

Dr. Harshendra Jaiswal

General Physician/ Internal Medicine Specialist

12 Years • MBBS , MD (General medicine)

Kolkata

108 DHANA DHANVANTARI Clinic, Kolkata

recommendation

88%

(25+ Patients)

600

500

Dr Chilukuri Venkata Reddy, General Physician

Dr Chilukuri Venkata Reddy

General Physician

4 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Naziya Rahim Bhatia, General Surgeon

Dr. Naziya Rahim Bhatia

General Surgeon

7 Years • MBBS ,MS

Bengaluru

Apollo Clinic, Sarjapur Road, Bengaluru

400

60 Cashback


 

Consult Top Specialists

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

68 Cashback

450

No Booking Fees

Dr. Paras Gangwal, General Physician/ Internal Medicine Specialist

Dr. Paras Gangwal

General Physician/ Internal Medicine Specialist

28 Years • MBBS,MD General Medicine

Delhi

Dr Paras Gangwal Clinic, Delhi

1500

1200

Dr. Harshendra Jaiswal, General Physician/ Internal Medicine Specialist

Dr. Harshendra Jaiswal

General Physician/ Internal Medicine Specialist

12 Years • MBBS , MD (General medicine)

Kolkata

108 DHANA DHANVANTARI Clinic, Kolkata

recommendation

88%

(25+ Patients)

600

500

Dr Chilukuri Venkata Reddy, General Physician

Dr Chilukuri Venkata Reddy

General Physician

4 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Naziya Rahim Bhatia, General Surgeon

Dr. Naziya Rahim Bhatia

General Surgeon

7 Years • MBBS ,MS

Bengaluru

Apollo Clinic, Sarjapur Road, Bengaluru

400

60 Cashback

Consult Top Specialists

Dr. Mohamed Azeem, General Physician/ Internal Medicine Specialist

Dr. Mohamed Azeem

General Physician/ Internal Medicine Specialist

2 Years • MBBS,MD(Internal Medicine) CCEBDM

Karaikudi

Apollo Hospitals Karaikudi, Karaikudi

450

68 Cashback

450

No Booking Fees

Dr. Paras Gangwal, General Physician/ Internal Medicine Specialist

Dr. Paras Gangwal

General Physician/ Internal Medicine Specialist

28 Years • MBBS,MD General Medicine

Delhi

Dr Paras Gangwal Clinic, Delhi

1500

1200

Dr. Harshendra Jaiswal, General Physician/ Internal Medicine Specialist

Dr. Harshendra Jaiswal

General Physician/ Internal Medicine Specialist

12 Years • MBBS , MD (General medicine)

Kolkata

108 DHANA DHANVANTARI Clinic, Kolkata

recommendation

88%

(25+ Patients)

600

500

Dr Chilukuri Venkata Reddy, General Physician

Dr Chilukuri Venkata Reddy

General Physician

4 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Naziya Rahim Bhatia, General Surgeon

Dr. Naziya Rahim Bhatia

General Surgeon

7 Years • MBBS ,MS

Bengaluru

Apollo Clinic, Sarjapur Road, Bengaluru

400

60 Cashback

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