Gaucher’s Disease

39. Gaucher’s Disease



Definition


Gaucher’s disease is an autosomal recessive inherited disorder resulting from deficiency of acid beta-glucosidase. It is characterized by thrombocytopenia, anemia, hepatosplenomegaly, and bone pain.


Incidence


The incidence of Gaucher’s disease in non-Jewish populations is 1:40,000. For the Ashkenazi Jewish population, the carrier rate is 1:15, whereas the disease rate is 1:855. In those of Norrbottnian Swedish descent, the incidence of Type III Gaucher’s disease is 1:50,000.


Etiology


All three types of Gaucher’s disease are caused by deficiency of the acid β-glucoside as the result of a mutation in the structural gene providing the enzyme encoding.



Subtypes of Gaucher’s Disease






• Type I: Adult/non-neuronopathic form


• Type II: Infantile/acute neuronopathic form


• Type III: Juvenile/Norrbottnian form


Signs and Symptoms






• Ataxia


• Dementia


• Fatigue


• Generalized weakness


• Hepatosplenomegaly


• Pathologic fractures


• Psychomotor retardation


• Seizures


• Severe bone and joint pain

Aug 5, 2016 | Posted by in ANESTHESIA | Comments Off on Gaucher’s Disease

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