Gaucher’s Disease - A Rare Cause of Massive Splenomegaly

Authors

  • Farzana Rahman Assistant Professor, Department of Hematology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • SK Jakaria Been Sayeed Indoor Medical Officer, Dept. of Medicine, Dhaka Medical College Hospital, Dhaka
  • Sabrina Rahman Post Graduate Trainee, Dept. of Medicine, Dhaka Medical College Hospital, Dhaka
  • AKM Humayon Kabir Associate Professor, Dept. of Medicine, Dhaka Medical College Hospital, Dhaka
  • Md Mujibur Rahman Professor of Medicine, Dept. of Medicine, Dhaka Medical College Hospital, Dhaka

DOI:

https://doi.org/10.3329/jom.v20i2.42011

Keywords:

Gaucher’s disease, Splenomegaly, Enzymatic disorder

Abstract

Gaucher’s disease (GD) is a lysosomal storage disorder due to glucocerebrosidase deficiency; it’s one of the rare genetic diseases for which therapy is now available. Lysosomal storage of the substrate in cells of the reticuloendothelial system leads to multisystem manifestations, including involvement of the liver, spleen, bone marrow, lungs, and nervous system. Three different subtypes have been identified: Type 1, non-neuropathic form, adult onset; type 2, acute neuropathic form, infantile onset; type 3, neuropathic form, juvenile onset. The diagnosis is confirmed by presence of less than 15% activity of the enzyme Glucocerebrosidase in peripheral leucocyte with presence of Gaucher cells in macrophase monocyte system, is the pathological hallmark. Enzyme replacement therapy (ERT) is now available. We are reporting a case here which presented with cytopenia and massive splenomegaly. This case has been presented to focus on the importance of clinical examinations, differentiating from other diseases of similar manifestations, enzyme activity and bone marrow study for early diagnosis.

J MEDICINE JUL 2019; 20 (2) : 98-101

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Published

2019-06-27

How to Cite

Rahman, F., Sayeed, S. J. B., Rahman, S., Kabir, A. H., & Rahman, M. M. (2019). Gaucher’s Disease - A Rare Cause of Massive Splenomegaly. Journal of Medicine, 20(2), 98–101. https://doi.org/10.3329/jom.v20i2.42011

Issue

Vol. 20 No. 2 (2019)

Section

Case Reports

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