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Gaucher disease

Overview Symptoms Treatment Prevention
Alternative Names:
Glucosylceramide storage disease; GSDI
Treatment:

In the past, the only treatment was removal of the spleen (splenectomy). Now, injections of a replacement synthetic enzyme (Cerezyme/Ceredase) are available. Gene therapy is an experimental approach.

A new oral treatment has recently been evaluated and is still under investigation. The drug, known as N-butyldeoxynojirimycin (OGT 918), works by inhibiting the formation of glucocerebroside. In clinical trials, patients had improved liver and spleen size and, to a lesser degree, improved blood counts. The most frequent side effect was diarrhea.

Expectations (prognosis):

The infantile form of Gaucher disease may lead to early death. Most affected children die before the age of 5 years. With the availability of synthetic enzyme, most patients with the adult-chronic form can look forward to normal or near-normal life expectancy.

Complications:
  • seizures
  • anemia
  • thrombocytopenia
  • bone infarctions
Calling your health care provider:

Call your health care provider or a Comprehensive Gaucher Center if you have a family history of Gaucher disease. Screening may be reasonable for individuals of appropriate ethnic groups known to be at a higher risk of the disease.

Bone marrow aspiration
Bone marrow aspiration
Gaucher cell, photomicrograph
Gaucher cell, photomicrograph
Gaucher cell, photomicrograph #2
Gaucher cell, photomicrograph #2
Hepatosplenomegaly
Hepatosplenomegaly
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