Do Not Miss the (Genetic) Diagnosis of Gaucher Syndrome: A Narrative Review on Diagnostic Clues and Management in Severe Prenatal and Perinatal-Lethal Sporadic Cases

With a growing number of proved therapies and clinical trials for many lysosomal storage disorders (LSDs), a lot of hope for many patients and families exists. However, there are sometimes cases with poor prognosis, fatal outcomes when our efforts must be directed towards a prompt and correct geneti...

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Main Authors: Aleksandra Jezela-Stanek, Grazina Kleinotiene, Karolina Chwialkowska, Anna Tylki-Szymańska
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/21/4890
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author Aleksandra Jezela-Stanek
Grazina Kleinotiene
Karolina Chwialkowska
Anna Tylki-Szymańska
author_facet Aleksandra Jezela-Stanek
Grazina Kleinotiene
Karolina Chwialkowska
Anna Tylki-Szymańska
author_sort Aleksandra Jezela-Stanek
collection DOAJ
description With a growing number of proved therapies and clinical trials for many lysosomal storage disorders (LSDs), a lot of hope for many patients and families exists. However, there are sometimes cases with poor prognosis, fatal outcomes when our efforts must be directed towards a prompt and correct genetic diagnosis, which offers the only possibility of providing the family with appropriate prevention and treatment. To address this issue, in this article, we present the clinical and genetic hallmarks of the lethal form of Gaucher disease (PLGD) and discuss the potential management. We hope that this will draw attention to its specific manifestations (such as collodion-baby phenotype, ichthyosis, arthrogryposis), which differ from best-known GD complications and ensure appropriate diagnostic assessment to provide families at risk with reliable counselling and treatment to avoid the medical complication of GD.
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spelling doaj.art-36b96e973d674a528a2010f579efedfb2023-11-22T21:04:12ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011021489010.3390/jcm10214890Do Not Miss the (Genetic) Diagnosis of Gaucher Syndrome: A Narrative Review on Diagnostic Clues and Management in Severe Prenatal and Perinatal-Lethal Sporadic CasesAleksandra Jezela-Stanek0Grazina Kleinotiene1Karolina Chwialkowska2Anna Tylki-Szymańska3Department of Genetics and Clinical Immunology, National Institute of Tuberculosis and Lung Disease, 01-138 Warsaw, PolandFaculty of Medicine, Vilnius University, 01513 Vilnius, LithuaniaCentre for Bioinformatics and Data Analysis, Medical University of Bialystok, 15-089 Bialystok, PolandDepartment of Pediatrics, Nutrition and Metabolic Diseases, Children’s Memorial Health Institute, 04-730 Warsaw, PolandWith a growing number of proved therapies and clinical trials for many lysosomal storage disorders (LSDs), a lot of hope for many patients and families exists. However, there are sometimes cases with poor prognosis, fatal outcomes when our efforts must be directed towards a prompt and correct genetic diagnosis, which offers the only possibility of providing the family with appropriate prevention and treatment. To address this issue, in this article, we present the clinical and genetic hallmarks of the lethal form of Gaucher disease (PLGD) and discuss the potential management. We hope that this will draw attention to its specific manifestations (such as collodion-baby phenotype, ichthyosis, arthrogryposis), which differ from best-known GD complications and ensure appropriate diagnostic assessment to provide families at risk with reliable counselling and treatment to avoid the medical complication of GD.https://www.mdpi.com/2077-0383/10/21/4890Gaucher diseaseNIHFperinatal-lethal Gaucher diseasePLGDichthyosisGBA gene
spellingShingle Aleksandra Jezela-Stanek
Grazina Kleinotiene
Karolina Chwialkowska
Anna Tylki-Szymańska
Do Not Miss the (Genetic) Diagnosis of Gaucher Syndrome: A Narrative Review on Diagnostic Clues and Management in Severe Prenatal and Perinatal-Lethal Sporadic Cases
Journal of Clinical Medicine
Gaucher disease
NIHF
perinatal-lethal Gaucher disease
PLGD
ichthyosis
GBA gene
title Do Not Miss the (Genetic) Diagnosis of Gaucher Syndrome: A Narrative Review on Diagnostic Clues and Management in Severe Prenatal and Perinatal-Lethal Sporadic Cases
title_full Do Not Miss the (Genetic) Diagnosis of Gaucher Syndrome: A Narrative Review on Diagnostic Clues and Management in Severe Prenatal and Perinatal-Lethal Sporadic Cases
title_fullStr Do Not Miss the (Genetic) Diagnosis of Gaucher Syndrome: A Narrative Review on Diagnostic Clues and Management in Severe Prenatal and Perinatal-Lethal Sporadic Cases
title_full_unstemmed Do Not Miss the (Genetic) Diagnosis of Gaucher Syndrome: A Narrative Review on Diagnostic Clues and Management in Severe Prenatal and Perinatal-Lethal Sporadic Cases
title_short Do Not Miss the (Genetic) Diagnosis of Gaucher Syndrome: A Narrative Review on Diagnostic Clues and Management in Severe Prenatal and Perinatal-Lethal Sporadic Cases
title_sort do not miss the genetic diagnosis of gaucher syndrome a narrative review on diagnostic clues and management in severe prenatal and perinatal lethal sporadic cases
topic Gaucher disease
NIHF
perinatal-lethal Gaucher disease
PLGD
ichthyosis
GBA gene
url https://www.mdpi.com/2077-0383/10/21/4890
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