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Blog #4 – Gaucher Disease

Gaucher Disease

If this is our first blog you are reading, we like to get some medical professionals to do some research so we can understand and help you (as a parent or a friend of a family) to better understand what it is and more importantly, what communities can you be a part of.  

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Feel free to jump down to the medical description of this condition below but also, get in community to learn more.  Please utilise the groups below if you have not already had access to a support system amongst your journey of understanding Gaucher Disease:

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Medical Information about Gaucher Disease: 

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As a team, none of us ARE doctors; however we work with some amazing medical professionals that have given us more insight below. Please continue reading and use the information to navigate your own personal journey or share with anyone you may know may benefit. 

Gaucher Disease is a rare genetic metabolic disorder which involves the deficiency of glucocerebrosidase enzyme which causes the accumulation of particular fats or lipids at harmful quantities. The most common among them is glycolipid glucocerebroside all over the body particularly within the liver or bone marrow. The disease in your child is caused by mutation in the GBA gene and is the most common kind of lysosomal storage disease. Your child might have one of the three types of Gaucher disease: 

Type 1 Gaucher disease 

It is also called as non-neuronopathic Gaucher disease because of not involving the central nervous system and is the most common type of Gaucher disease. This type would only affect your child’s spleen, bones, blood and liver.    

Type 2 Gaucher disease 

It may also be called “Acute Neuronopathic Gaucher Disease” because it involves neurological complications and occurs in infants and new-born babies. Glucocerebroside is accumulated in the brain abnormally and results in an enlarged spleen. Your child with this type of Gaucher disease would pass away within the first few years of life. 

Type 3 Gaucher disease 

It may also be called “Chronic Neuronopathic Gaucher disease.” This type occurs before the age of ten years and results in organs and bones deformities and neurological complications.

Symptoms

Your child with any one of the above-mentioned types of Gaucher disease might have following symptoms:   

  • Enlarged spleen or liver causing painful abdomen
  • Bones weakness causing painful fractures
  • Anaemia and fatigue together with bleeding and bruising difficulties
  • Abnormal movement of eyes 
  •  Muscles stiffness 
  • Swallowing problems and seizures

Diagnosis

You should consider a diagnosis for Gaucher disease if your child is suffering from unexplained anaemia and bruising with enlarged liver or spleen. However, the clinical evaluation confirms the diagnosis which involve:

  • Enzyme assay test measuring the beta-glucose activity in leukocytes
  • Genetic tests verifying the mutation in GBA gene

Treatment and management

There is no cure for Gaucher disease however treatment depends on what type of Gaucher disease does your child have. The available treatments involve 

  • Enzyme replacement therapy for type 1 and 3
  • Substrate reduction therapy to reduce the glucocerebroside amount
  • Surgery to remove spleen or parts of it
  • Bone marrow transplant 
  • Blood transfusions in case of anaemia

Prognosis

If your child has type 1 Gaucher disease, then it can be managed leading to improved life with the help of treatments. With type 3, your child could live to their 20s or 30s. However, with type 2, the child could pass away within the first three years.