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Gaucher's Disease in an Adult Female: A Rare Entity.
Kannauje, Pankaj K; Pandit, Vinay; Wasnik, Preetam N; Gupta, Ashish K; Venkatesan, Nanditha.
  • Kannauje PK; General Medicine, All India Institute of Medical Sciences, Raipur, IND.
  • Pandit V; General Medicine, All India Institute of Medical Sciences, Raipur, IND.
  • Wasnik PN; General Medicine, All India Institute of Medical Sciences, Raipur, IND.
  • Gupta AK; Pathology and Lab Medicine, All India Institute of Medical Sciences, Raipur, IND.
  • Venkatesan N; General Medicine, All India Institute of Medical Sciences, Raipur, IND.
Cureus ; 13(8): e17318, 2021 Aug.
Article in English | MEDLINE | ID: covidwho-1380083
ABSTRACT
Gaucher's disease is a rare inborn error of metabolism with an autosomal recessive pattern of inheritance. With over 26 million births occurring per annum, extrapolation of this figure would give us an estimated burden of 17,000 babies born with lysosomal storage disorder (LSD). Given the large population of India and the high rates of consanguineous marriage that takes place in the subcontinent, LSD might not be as rare as we perceive it to be. We report a rare occurrence of type-1 Gaucher's disease in an adult female patient born of a non-consanguineous marriage, belonging to the tropical area of Chhattisgarh, India where there is a predominance of malaria, thalassemia, and sickling. The diagnosis was challenging in this case since we needed to work out all the differential diagnoses of pancytopenia with hepatomegaly and massive splenomegaly. The key part was her medical history where there was documentation of her elder brother's death due to some mental illness of undiagnosed etiology. Being a difficult time due to coronavirus disease 2019 ( COVID-19) , we were able to diagnose the patient with a bone marrow biopsy followed by glucocerebrosidase enzyme level suggestive of Gaucher's disease.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Diagnostic study / Etiology study / Prognostic study Language: English Journal: Cureus Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Diagnostic study / Etiology study / Prognostic study Language: English Journal: Cureus Year: 2021 Document Type: Article