Solunum Sıkıntısı ile Başvuran Gaucher Hastası

Abstract

Gaucher hastalığı, retiküloendotelyal sistem RES hücre- leri içinde glukozilseramit birikiminin neden olduğu, lizozomal glukoserobrosidaz enzim eksikliğine bağlı oto- zomal resesif geçişli bir depo hastalığıdır. Monosit ve makrofaj lizozomlarında biriken glukoserebrosid birçok organı, sıklıkla da kemik iliği, lenf bezleri, karaciğer ve dalağı infiltre eder ve multisistemik bulgulara yol açar. Gaucher hastalığının nörolojik tutulum olup olmaması ve nörolojik hastalığa ilerleme durumuna göre 3 alt tipi bulunmaktadır. Tip 1 erişkin formu olup, nörolojik tutu- lum görülmez. Tip 2 infantil veya akut nöronopatik tip, Tip 3 juvenil subakut nöronopatik tipidir. Enzim ve gen teda- vilerindeki ilerlemeler ile küratif tedavisi gündeme gelen, ender bir genetik bozukluk olan Gaucher hastalığı, klini- ğimizde saptanan bu vaka ile birlikte yeniden gözden geçirilmiştir

Keywords

• Gaucher hastalığı,hepatosplenomegali,enzim tedavisi

Patient with Gaucher Disease Presenting with Respiratory Distres

Abstract

Gaucher disease is an autosomal recessive , lysosomal sto- rage disease, characterized by glycosylcerebroside depositi- on in reticulo-endothelial system cells, due to deficiency of lysosomal glucocerebrosidase. Glucocerebroside accumula- ted in lysosomes of monocytes and macrophages frequently infiltrates many organs such as the bone marrow, lymph nodes, liver and spleen and causes multisystemic symptoms. In Gaucher disease, according to neurological involvement and the progression of neurological disease there are 3 subt- ypes. Type 1 adult form where there is no neurological invol- vement, Type 2, infantile or acute neuropathic and Type 3, subacute juvenile neuropathic type. Curative treatment of rarely seen Gaucher disease has been revived with advance- ments in enzyme and gene therapy, and it has been reviewed together with this case detected in our clinic

Keywords

• Gaucher disease,hepatosplenomegaly,enzyme replacement

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