About Pyruvate Kinase Deficiency

What is Pyruvate Kinase Deficiency?

Pyruvate Kinase Deficiency (PKD) is an inherited disorder caused by a deficiency of the enzyme pyruvate kinase. This enzyme is responsible for converting the sugar molecule pyruvate into energy. Without this enzyme, the body is unable to produce enough energy to meet its needs, leading to anemia, fatigue, and other symptoms. PKD is a rare disorder, affecting only about 1 in every 100,000 people. Treatment typically involves blood transfusions and medications to help manage symptoms.

What are the symptoms of Pyruvate Kinase Deficiency?

The symptoms of Pyruvate Kinase Deficiency can vary from person to person, but some of the most common symptoms include:

-Fatigue
-Anemia
-Jaundice
-Enlarged spleen
-Abdominal pain
-Easy bruising
-Frequent infections
-Delayed growth and development
-Shortness of breath
-Paleness
-Headaches
-Loss of appetite
-Nausea and vomiting

What are the causes of Pyruvate Kinase Deficiency?

Pyruvate Kinase Deficiency is caused by mutations in the PKLR gene, which provides instructions for making the enzyme pyruvate kinase. This enzyme is essential for the breakdown of sugar molecules in the body. Mutations in the PKLR gene can lead to a decrease in the amount of functional pyruvate kinase enzyme, resulting in Pyruvate Kinase Deficiency.

What are the treatments for Pyruvate Kinase Deficiency?

1. Blood transfusions: Blood transfusions can help to temporarily increase the number of red blood cells in the body, which can help to reduce the symptoms of anemia.

2. Folic acid supplementation: Folic acid is a B vitamin that helps to produce red blood cells. Supplementation can help to reduce the symptoms of anemia.

3. Iron supplementation: Iron is an important mineral for red blood cell production. Supplementation can help to reduce the symptoms of anemia.

4. Splenectomy: A splenectomy is a surgical procedure to remove the spleen. This can help to reduce the destruction of red blood cells and reduce the symptoms of anemia.

5. Bone marrow transplant: A bone marrow transplant can help to replace the defective red blood cells with healthy ones. This can help to reduce the symptoms

What are the risk factors for Pyruvate Kinase Deficiency?

1. Family history of Pyruvate Kinase Deficiency
2. Ethnicity: Pyruvate Kinase Deficiency is more common in people of Mediterranean, African, and Asian descent.
3. Age: Pyruvate Kinase Deficiency is more common in infants and young children.
4. Exposure to certain medications, such as antimalarial drugs.
5. Exposure to certain toxins, such as lead.

Is there a cure/medications for Pyruvate Kinase Deficiency?

Yes, there are treatments available for Pyruvate Kinase Deficiency. Treatment options include medications, such as hydroxyurea, and blood transfusions. In some cases, a bone marrow transplant may be recommended.