2010, Number 5
<< Back Next >>
Acta Ortop Mex 2010; 24 (5)
Bone manifestations of Gaucher’s disease in Mexican patients
Blass PJ
Language: Spanish
References: 11
Page: 351-358
PDF size: 489.16 Kb.
ABSTRACT
Gaucher’s disease (GD) is the most common of the lysosomal storage diseases (LSDs) that have been defined so far. Its incidence rate is quite low, but its organ involvement profile is disrupting as it results in a considerable morbidity and mortality rate, as well as in high health care costs and poor quality of life. It is a recessive and autosomal genetic disease associated with the insufficiency of the enzyme glucocerebrosidase. The storage of the substrate produces considerable organ deterioration in the skeleton, liver, kidneys, lungs, spleen, brain and bone marrow. This report presents several clinical cases of Mexican patients characterized by bone damage with the purpose of disseminating among orthopedic surgeons the typical findings and course of the disease. The particularities of the patients are discussed, as well as their response to enzyme replacement therapy (ERT) and the results of their clinical follow-up with the latest therapeutic resources.
REFERENCES
Grabowski GA, Andria G, Baldellou A, Campbell PE, Charrow J, Cohen IJ, et al: Pediatric non-neuropathic Gaucher disease: presentation, diagnosis and assessment. Consensus statements. Eur J Pediatr 2004; 163(2): 58-66.
Beutler E, Grabowski G: Gaucher disease. In: Scriver CR, Baudet AL, Sly WS and Valle D (Eds). The Metabolic & Molecular Bases of Inherited Disease, 8th ed. Vol III, McGraw-Hill, New York, 2001: 3635.
Jmoudiak M, Futerman AH: Gaucher disease: pathological mechanisms and modern management. Br J Haematol 2005; 129(2): 178-88.
Charrow J, Anderson HC, Kaplan P, Kolodny EH, Mistry P, Pastores G, et al: Enzyme replacement therapy and monitoring for children with type I Gaucher disease: consensus recommendations. J Pediatr 2004; 144: 112-205.
Sidransky E, Sherer DM, Ginns E: Gaucher disease in the neonate: a distinct Gaucher phenotype is analogous to a mouse model created by targeted disruption of the glucocerebrosidase gene. Pediatr Res 1992; 32: 494-8.
Janssen-Cilag: IMSS. Consenso Nacional por Enfermedades por Depósito Lisosomal, 2005; 6-11 de Junio, Juriquilla, Querétaro, México.
Chamoles N, Blanco M, Gaggioli D, Casentini C: Gaucher and Niemann-Pick diseases –enzymatic diagnosis in dried blood spots on filter paper: retrospective diagnoses in newborn-screening cards. Clin Chim Acta 2002; 317: 191-7.
Barranger JA, Rice E, Sakallah SA, Sansieri C, Mifflin TE, Cooper DL. Enzymatic and molecular diagnosis of Gaucher disease. Clin Lab Med 1995; 15(4): 899-913.
Weinreb NJ, Aggio MC, Andersson HC, Andria G, Charrow J, Clarke JT, et al: International Collaborative Gaucher Group (ICGG). Gaucher disease type I: revised recommendations on evaluations and monitoring for adult patients. Semin Hematol 2004; 41(4 Suppl 5): 15-22.
Herman G, Goldblatt J, Levy RN, Goldsmith SJ, Desnick RJ, Grabowski GA: Gaucher’s Disease type 1: assessment of bone involvement by CT and scintigraphy. Am J Roentgenol 1986; 147: 943-8.
Charrow J, Dulisse B, Grabowski GA, Weinreb NJ: The effect of enzyme replacement therapy on bone crisis and bone pain in patients with type 1 Gaucher disease. Clin Genet 2007; 71: 205-11.