Expert Group Consensus From the Arabian Peninsula On the Diagnosis of Lopd

Objective and Method

Consensus based on literature supporting clinical presentation and recommendations
Literature Analysis on LOPD Symptoms (Rheumatology): Hierarchy of Evidence
- Systemic review and meta-analysis
- Randomized controlled trials
- Observational studies (cohort studies/screening studies)
- Case series studies
- Case series, case reports
- Expert Opinion
- 11 studies for adult# LOPD
Rheumatology-Specific
Clinical Presentation for Adult# LOPD Proposed During the First Meeting
- Unexplained general/inflammatory myopathy
- Asymptomatic hyperCKemia/paucisymptomatic
- Unexplained LGMW
- Polymyositis non-responding to steroids
LDH, ALT, and AST

Rheumatology-Specific Diagnostic Algorithm Proposed During the Second Meeting

Conclusion
A consensus-based diagnostic algorithm simplifies LOPD diagnosis across specialties

Recommendation
Testing for Pompe disease must be done if any one specialty-specific symptom plus elevated CK/LDH/ALT/AST or a family history of unexplained muscle weakness are present.
Conclusion
*The age of patients with pediatric/juvenile LOPD ranges from 1 to 17 years; #The age of patients with adult LOPD is usually 18 years and above.