Ischemic forearm exercise test

Normal response to ischemic exercise	Lactate	Pyruvate	Ammonia
Normal response to ischemic exercise	3- to 5-fold increase	3- to 5-fold increase	5- to 10-fold increase
Glycolytic/glycogenolytic defects	No rise or <2-fold increase	No rise or <2-fold increase	Normal
Except:
Phosphorylase b kinase deficiency	Normal - mildly increased	Normal - mildly increased	Normal
Acid maltase deficiency	Normal	Normal	Normal
Lactate dehydrogenase deficiency	No rise	Normal to markedly increased	Normal
Fatty acid oxidation defects	Normal	Normal	Normal
Mitochondrial defects	Normal to increased	Normal to increased	Normal
Myoadenylate deficiency	Normal	Normal	No rise

Graphic 71745 Version 3.0

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