RARE BLOOD DISEASES: GAUCHER DISEASE. CASE DESCRIPTION

T.I. Pospelova, T.N. Babaeva
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Abstract

Gaucher disease is the most common form of hereditary enzymopathies included in the group of lysosomal storage diseases. The disease is based on a hereditary deficiency in the activity of the enzyme glucocerebrosidase (also called glucosylceramidase or acid β-glucosidase) which is involved in the degradation of cellular metabolic products. Gaucher disease is a systemic disease characterized by the same type of clinical manifestations (hepatosplenomegaly, cytopenias, lesions of the skeletal system) but an extremely heterogeneous clinical course. In the article, the authors describe their own clinical case of Gaucher disease in a teenage girl. A long past history of he¬terogeneous clinical symptoms, the complexity of differential diagnosis and interpretation of existing deviations within the course of the single systemic process were noted. The high effectiveness of modern enzyme replacement therapy has been demonstrated.
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罕见血液病:戈谢病。例描述
戈谢病是溶酶体贮积病中最常见的遗传性酶病。这种疾病是基于遗传性的葡萄糖脑苷酶(也称为葡萄糖神经酰胺酶或酸β-葡萄糖苷酶)活性缺乏,这种酶参与细胞代谢产物的降解。戈谢病是一种全身性疾病,具有相同类型的临床表现(肝脾肿大、细胞减少、骨骼系统病变),但临床病程极不均匀。在文章中,作者描述了他们自己的临床病例戈谢病在一个十几岁的女孩。注意到过去长期的异质性临床症状,鉴别诊断的复杂性和单一系统过程中现有偏差的解释。现代酶替代疗法的高效性已得到证实。
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