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Aortic calcification in Gaucher disease: a case report
Saud Alsahli1,2, Dalal K Bubshait3, Zuhair A Rahbeeni4
1Medical Genomic Research Department, King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, dralfadhelm@gmail.com.
Insights
Gaucher disease can cause fatal cardiac issues, particularly in those with the D409H mutation. Annual echocardiograms are crucial for early detection and management of cardiovascular complications in these patients.
Area of Science:
- Biochemistry
- Genetics
- Cardiology
Background:
- Gaucher disease is a common sphingolipidosis affecting all ethnic groups.
- Cardiovascular complications are a serious manifestation of Gaucher disease.
- Gaucher disease type IIIC is associated with oculomotor apraxia and cardiac calcification.
Observation:
- A Saudi girl with Gaucher disease developed severe valvular and aortic calcification in late childhood.
- The patient succumbed to her cardiovascular complications.
Findings:
- This case report reinforces the link between Gaucher disease, specifically the D409H mutation, and cardiac calcification.
- The D409H mutation in Gaucher disease is associated with significant cardiovascular morbidity.
Implications:
- Healthcare providers must be vigilant for cardiac complications in Gaucher disease patients.
- Annual echocardiographic screening is recommended for patients with the D409H mutation to monitor for cardiac calcification.
- Early detection and management of cardiovascular issues can improve outcomes for Gaucher disease patients.
Abstract:
Gaucher disease is the most common sphingolipid storage disease and is present in all ethnic groups. Its symptoms span all systems including the cardiovascular system. The health care provider should be vigilant regarding this potentially fatal complication. Gaucher disease type IIIC has been linked to causing oculomotor apraxia and cardiac calcification. We report a Saudi girl who developed valvular and aortic calcification in late childhood and died as a result of her cardiovascular complications. This report further strengthens the association and reminds the clinicians that patients with D409H mutation need echocardiographic evaluation annually.
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