Gaucher type 1 in pediatric practice: clinical observations
G.P. SMIRNOVA1, 2, S.N. DURYAGINA2, YU.V. SMORODINA2, I.A. KARATAEVA2, D.S. IVANOVA1, YU.S. SEKAREVA1
1Northern State Medical University, Arkhangelsk
2Arkhangelsk Children’s Clinical Hospital named after P.G. Vyzhletsov, Arkhangelsk
Contact details:
Smirnova G.P. — PhD (Medicine), Associate Professor of the Department of Pediatrics
Address: 51 Troitsky prospekt, 163069 Arkhangelsk, Russian Federation, tel.: +7-902-194-87-39, e-mail: sovas1962@gmail.com
Gaucher disease is an orphan autosomal recessive disorder. The article presents three clinical cases of Gaucher type 1 which can manifest itself with symptoms such as splenomegaly, hepatomegaly, thrombocytopenia, anemia and bone damage, requiring differential diagnosis with hemoblastoses, liver diseases and diseases of the musculoskeletal system. The authors present modern data on the epidemiology, pathogenesis, up-to-date classification and diagnostics of GD. Timely diagnosis and treatment of the disease can improve the prognosis and quality of life of patients.
Key words: children, Gaucher disease, non-neuronopathic type, hepatosplenomegaly, cytopenia, glucocerebrosidase deficiency, enzyme replacement therapy.
REFERENCES
- Revel-Vilk S., Shalev V., Gill A. et al. Assessing the diagnostic utility of the Gaucher Earlier Diagnosis Consensus (GED-C) scoring system using real-world data. Orphanet J. Rare Dis., 2024, vol. 19, p. 71. DOI:
- Ponomarev R.V., Lukina E.A. Gaucher disease: achievements and prospects. Terapevticheskiy arkhiv, 2021, vol. 93, no. 7, pp. 830–836 (in Russ.). DOI: 10.26442/00403660.2021.07.200912
- Klinicheskie rekomendatsii [Drugie sfingolipidozy (bolezn’ Goshe) u detey]: standarty vedeniya bol’nykh dlya vrachey (fel’dsherov), red. sovet: Soyuz pediatrov Rossii, assotsiatsiya meditsinskikh genetikov, natsional’noe obshchestvo detskikh gematologov i onkologov [Clinical guidelines [Other sphingolipidoses (Gaucher disease) in children]: standards of patient care for physicians (paramedics) / ed. Council: Union of Pediatricians of Russia, Association of Medical Geneticists, National Society of Pediatric Hematologists and Oncologists]. Moscow, 2024.
- Strugov V.V. Bolezn’ Goshe [Gaucher Disease]. Genokarta Geneticheskaya entsiklopediya, 2020, available at: https://www.genokarta.ru/disease/Bolezn_Goshe
- Sadovnikova I.V., Postnikova A.D., Golichnikova A.A. Features of Gaucher Disease Diagnostics. Eksperimental’naya i klinicheskaya gastroenterologiya, 2022, vol. 202, no. 6, pp. 165–170 (in Russ.).
- Rassokhina E.A., Sidakova L.A., Kizatova S.T. Gaucher Disease: Modern Aspects of Diagnostics and Treatment. Nauchnoe obozrenie. Pedagogicheskie nauki, 2019, no. 5, pp. 102–105 (in Russ.).
- Sayfutdinov R.G., Akhunova R.R., Kurshakov A.A., Mitusheva E.I., Sayfutdinov R.R., Volgina S.Ya. Gaucher disease. Eksperimental’naya i klinicheskaya gastroenterologiya, 2021, vol. 194, no. 10, pp. 147–154 (in Russ.). DOI: 10.31146/1682-8658-esd-194-10-147-154
- Bakulin I.G., Zhuravleva M.S., Lukina E.A., Ponomarev R.V. Gaucher disease and liver cirrhosis are syndrome-similar diseases: the position of a gastroenterologist and hematologist. Dokazatel’naya gastroenterologiya, 2021, vol. 10, no. 3, pp. 63–68 (in Russ.).


