الفهرس | Only 14 pages are availabe for public view |
Abstract Gaucher disease (GD) is a recessive disorder, classified as an orphan disease. Mutation of the glucocerebrosidase gene (GBA) leads to a reduction in β-glucocerebrosidase (GCase) activity, accumulation of glucosylceramide and abnormal levels of other sphingolipids. Features include hepatosplenomegaly, cytopenias and bone disease including osteopenia and osteonecrosis. Enzyme replacement is the most common therapy; however, bone manifestations can be slow to respond. Some patients show no improvement or continue to suffer bone events. |