Glycerol Kinase Deficiency

Glycerol kinase deficiency (GKD) is an X-linked disorder characterized by elevated plasma or urine glycerol. It may occur as an isolated form caused by mutation of the GK gene alone or as part of a contiguous gene syndrome involving the DAX1 and DMD genes on Xp21.3. Individuals with isolated GKD may be asymptomatic or symptomatic with episodes of vomiting, acidosis and lethargy that may progress to coma or CNS crisis. Phenotypic variability occurs even within families.1 Symptomatic individuals usually present with signs of hypoglycemia, ketoacidosis, and/or seizures. Patients who are symptomatic in childhood may become symptom free. Asymptomatic patients are often identified through hyperlipidemia testing when they are mistaken as having hypertriglyceridemia, as elevated plasma glycerol concentrations can erroneously result in overestimation of plasma triglycerides. Isolated GKD has also been found in children with dysmorphic features and mental retardation; however, at this time, it is not clear whether or not these features are related to GKD alone.2,3 Individuals with GKD as part of the Xp21.3 contiguous gene syndrome also have features of congenital adrenal hypoplasia and/or Duchenne muscular dystrophy.

Tests Available

Forms and Documents

Test Info Sheet Test Requisition Form

Test Details

  • Confirmation of biochemical diagnosis
  • Carrier testing
  • Prenatal diagnosis in at risk pregnancies

Ordering

438
4-5 weeks
2-5 mL Blood - Lavender Top Tube
Buccal Swabs

*Reporting times are typical, but could be extended in situations outside GeneDx's reasonable control.

Billing

81479x1
No
Yes
  • 277.8 Other specified disorders of metabolism
For price inquiries please email zebras@genedx.com

**The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

References

  1. Dipple et al., (2001) Hum Genet 109:55-62
  2. Sjarif et al., (2004) Eur J Hum Genet 12:424-432
  3. Sjarif et al., (1998) J Med Genet 35:650-656
  4. Gaudet et al., (2000) Am J Hum Genet 66:1558-1568
  5. Sargent et al., (2000) J Med Genet 37:434-441
  6. Hellerud et al., (2004) Acta Paediatr 93:911-921
  7. Hellerud et al., (2003) Clin Chem Lab Med 41:46-55
  8. Walker et al., (1996) Am J Hum Genet 58:1205-1211