Journal
WORLD JOURNAL OF GASTROENTEROLOGY
Volume 14, Issue 25, Pages 3968-3973Publisher
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.14.3968
Keywords
Gaucher disease; enzyme replacement treatment; substrate reduction treatment; gene therapy; liver fibrosis
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Gaucher disease (GD) is an autosomal recessive disease which if undiagnosed or diagnosed late results in devastating complications. Because of the heterozygous nature of GD, there is a wide spectrum of clinical presentation. Clinicians should be aware of this rare but potentially treatable disease in patients who present with unexplained organomegaly, anemia, massive splenomegaly, ascites and even cirrhosis of unknown origin. The treatment options for adult type GD include enzyme replacement treatment (ERT) and substrate reduction treatment (SRT) depending on the status of the patient. Future treatment options are gene therapy and smart molecules which provide specific cure and additional treatment options. In this review, we present the key issues about GD and new developments that gastroenterologists should be aware Of. (C) 2008 The WJG Press. All rights reserved.
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