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Published on: May 31, 2016
Gaucher's disease type III C: Unusual cause of intracardiac calcification
Sejal Shah1, Amit Misri, Meenakshi Bhat
1Department of Pediatric Cardiology, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, India.
Insights
Gaucher
Area of Science:
- Biochemistry
- Genetics
- Pediatrics
Background:
- Gaucher's disease is a rare genetic disorder.
- It affects multiple organs due to enzyme deficiency.
- Early diagnosis is crucial for management.
Observation:
- A 12-year-old girl presented with dyspnea, sinusitis, and epistaxis.
- She also had intracardiac calcification, oculomotor apraxia, and corneal deposits.
- Symptoms began at age 6, indicating early onset and multiorgan involvement.
Findings:
- Bone marrow aspirate confirmed Gaucher's disease.
- The patient's symptoms represented an unusual and severe presentation.
- Multisystemic manifestations were key diagnostic clues.
Implications:
- This case highlights the diverse clinical spectrum of Gaucher's disease.
- It emphasizes the importance of considering metabolic disorders in pediatric cases with unusual symptoms.
- Prompt diagnosis and management can improve patient outcomes.
Abstract:
We report a case of intracardiac calcification associated with oculomotor apraxia and corneal deposits in a 12-year-old girl, who presented with dyspnea on exertion, sinusitis, and epistaxis since the age of 6 years. Unusual presentation with multiorgan involvement prompted us to evaluate her in terms of metabolic/storage disorder. The bone marrow aspirate confirmed the diagnosis of Gaucher's disease.
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