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A Cross-Sectional Retrospective Study of Non-Splenectomized and Never-Treated Patients with Type 1 Gaucher Disease

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A Cross-Sectional Retrospective Study of Non-Splenectomized and Never-Treated Patients with Type 1 Gaucher Disease

DE ROUX SERRATRICE, Christine, et al.

Abstract

Patients with type 1 Gaucher disease (GD1) present thrombocytopenia, anemia, organomegaly, and bone complications. Most experts consider that the less aggressive forms do not require specific treatment. However, little is known about the disease course of these forms. The objective of this cross-sectional retrospective study was to compare the clinical, radiological, and laboratory characteristics of patients with less severe GD1 at diagnosis and at the last evaluation to identify features that might lead to potential complications.

Non-splenectomized and never-treated patients (19 women and 17 men) were identified in the French Gaucher Disease Registry (FGDR). Their median age was 36.6 years (2.4-75.1), and their median follow-up was 7.8 years (0.4-32.4). Moreover, 38.7% were heterozygous for the GBA1 N370S variant, and 22.6% for the GBA1 L444P variant. From diagnosis to the last evaluation, GD1 did not worsen in 75% of these patients. Some parameters improved (fatigue and hemoglobin concentration), whereas platelet count and chitotriosidase level remained stable. In one patient (2.7%), Lewy body dementia was diagnosed [...]

DE ROUX SERRATRICE, Christine, et al . A Cross-Sectional Retrospective Study of

Non-Splenectomized and Never-Treated Patients with Type 1 Gaucher Disease. Journal of Clinical Medicine , 2020, vol. 9, no. 8, p. 2343

PMID : 32708003

DOI : 10.3390/jcm9082343

Available at:

http://archive-ouverte.unige.ch/unige:145459

Disclaimer: layout of this document may differ from the published version.

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Supplementary material

Figure S1. Correlation between lyso-Gb1 and platelet count at the last evaluation.

R2 Linear= 0.20

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