Overall assessment of patients with type 1 Gaucher disease: a single-centre’s experience

Huseyin Dursun, Esra Yildizhan, Fahri Bayram
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Abstract

Abstract Purpose To evaluate the demographic and clinical data of patients with type 1 Gaucher disease, a rare disease, at a single centre. Methods The data of patients with type 1 Gaucher disease who were followed up at the Endocrinology Department of Erciyes University’s Medical Faculty Hospital between 2019 and 2021 were evaluated. Results We evaluated 13 patients with type 1 Gaucher disease who were diagnosed or followed up at our centre and whose data could be accessed. Four of the patients were male, and nine were female. The mean age at the time of diagnosis was 33 (± 11.32) years. Hepatomegaly was present in 11 of the 13 patients. Eight of the 13 patients had splenomegaly. Three patients had undergone splenectomy. The liver and spleen dimensions of two patients were normal. The platelet count was normal in three of the 10 patients without a history of undergoing splenectomy. Bone densitometry revealed that six patients had a lumbar z-score of ≤ − 2.5. Five patients had a score between − 1 and − 2.5, and two patients had a normal z-score. The mean treatment duration was 36 (± 19.46) months. All our patients were administered enzyme replacement therapy. Conclusion Gaucher disease is a rare lysosomal storage disease that affects many systems. It causes irreversible morbidity in patients in whom diagnosis is delayed. The main treatment modality was enzyme replacement therapy. Because it is a rare and multisystemic disease, patients should be followed up at centres with experience in treating Gaucher disease.
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1型戈谢病患者的总体评估:单中心经验
摘要目的评价1型戈谢病(一种罕见病)患者的人口统计学和临床资料。方法分析2019 - 2021年在埃尔西耶斯大学医学院附属医院内分泌科随访的1型戈谢病患者的资料。结果我们评估了13例在本中心诊断或随访的1型戈谢病患者,这些患者的资料可以获得。4名患者为男性,9名患者为女性。确诊时的平均年龄为33(±11.32)岁。13例患者中有11例出现肝肿大。13例患者中有8例脾肿大。3例患者行脾切除术。2例肝脾尺寸正常。10例无脾切除术史的患者中有3例血小板计数正常。骨密度测量显示,6例患者腰椎z-评分≤- 2.5。5例患者得分在- 1到- 2.5之间,2例患者z-score正常。平均治疗时间36(±19.46)个月。所有患者均接受酶替代治疗。结论戈谢病是一种罕见的多系统溶酶体积存病。在诊断延迟的患者中,它会导致不可逆转的发病率。主要治疗方式为酶替代疗法。由于这是一种罕见的多系统疾病,患者应在具有治疗戈谢病经验的中心随访。
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