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Gaucher disease
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Gaucher disease is an inherited illness
caused by a gene mutation. Normally, this gene is responsible
for an enzyme called glucocerebrosidase that the body needs
to break down a particular kind of fat called glucocerebroside.
In people with Gaucher disease, the body is not able to properly
produce this enzyme, and the fat can not be broken down. It
then accumulates, mostly in the liver, spleen, and bone marrow.
Gaucher disease can result in pain, fatigue, jaundice, bone
damage, anemia, and even death.
Gaucher disease is considerably more common
in the descendants of Jewish people from Eastern Europe (Ashkenazi),
although individuals from any ethnic group may be affected.
Among the Ashkenazi Jewish population, Gaucher disease is
the most common genetic disorder, with an incidence of approximately
1 in 450 persons. In the general public, Gaucher disease affects
approximately 1 in 100,000 persons. According to the National
Gaucher Foundation, 2500 Americans suffer from Gaucher disease.
In 1991, enzyme replacement therapy became
available as the first effective treatment for Gaucher disease.
The treatment consists of a modified form of the glucocerebrosidase
enzyme given intravenously. Performed on an outpatient basis,
the treatment takes about 1 to 2 h and is given every 2 weeks.
Enzyme replacement therapy can stop and often reverse the
symptoms of Gaucher disease, allowing patients to enjoy a
better quality of life.
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