Gaucher’s Disease

Gaucher’s Disease


GAUCHER’S DISEASE

  • It is an autosomal recessive trait.
  • It is the common lysosomal storage disorder.
  • It is 3 types-
  1. Type I Gaucher’s disease (most common)
  2. Type II Gaucher’s disease
  3. Type III Gaucher’s disease

Biochemical Defect-

  • Deficiency of lysosomal hydrolase, acid β- glucosidase (β- glucocerebrosidase)

Clinical features-

  • Pancytopenia, bleeding manifestations
  • fatigue
  • Bleeding manifestations
  • Hepatosplenomegaly
  • Pathological fracture of long bones and bone pain

  • Rapid neurodegenerative course (Type II)

Diagnosis-

  • Erlenmeyer Flask Deformity
  • Bone marrow examination- The pathologic hallmark of Gaucher disease is the Gaucher cell particularly in the bone marrow.

Treatment-

  • Enzyme Replacement Therapy (ERT)
  • Human Acid Beta Glucosidase (Imiglucerase)
  • Oral substrate reduction agents- Miglustat
  • Bone marrow transplantation
Exam Question
 
  • It is an autosomal recessive trait.
  • It is the common lysosomal storage disorder.
  • Type I Gaucher’s disease (most common)
  • Deficiency of lysosomal hydrolase, acid β- glucosidase (β- glucocerebrosidase)
  • Bone marrow examination- The pathologic hallmark of Gaucher disease is the Gaucher cell particularly in the bone marrow.
  • Treatment- Enzyme Replacement Therapy (ERT)
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