Manifestaciones oculares de la enfermedad de Gaucher: presentación de un caso y revisión del tema

Autores/as

DOI:

https://doi.org/10.17533/udea.iatreia.v30n3a05

Palabras clave:

angiografía con fluoresceína, Enfermedad de Gaucher, enfermedades de la retina, mutación, manifestaciones oculares, oftalmología, tomografía de coherencia óptica

Resumen

Se informa el caso de una paciente con enfermedad de Gaucher (EG) tipo 3b con mutación homocigota en el gen GBA (c.1448T>C p.L483P) (L444P). Se describen los hallazgos oculares característicos de esta mutación, que incluyen condensaciones vítreas y edema macular. Hasta donde sabemos, es el primer caso informado en Colombia con estas características. Se presenta además una revisión sobre las manifestaciones oculares de esta enfermedad. 

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Biografía del autor/a

Juan Carlos Mejía-Turizo, Universidad Pontificia Bolivariana

Residente de Oftalmologia Universidad Pontificia Bolivariana, Medellín, Colombia.

Sebastián Rojas-Múnera, Universidad Pontificia Bolivariana

Oftalmólogo de la Universidad Pontificia Bolivariana. 

Sebastián Reinaldo Orrego-Betancur, Universidad Pontificia Bolivariana

Residente de Oftalmologia.

Carlos Mario Franco-Echeverri, Hospital Pablo Tobón Uribe

Oftalmólogo, Universidad Pontificia Bolivariana, Medellín, Colombia.

Kevin Arango-Simoni, Universidad Pontificia Bolivariana

Oftalmólogo, Universidad Pontificia Bolivariana, Medellín, Colombia.

Citas

(1.) Cogan DG, Chu FC, Gittinger J, Tychsen L. Fundal abnormalities of Gaucher’s disease. Arch Ophthalmol. 1980 Dec;98(12):2202-3.

(2.) Gonzalez Rodriguez MJ, Pintado Conde H, Lopez Nieto C, Capdevila Puerta A, Torres Carrete JP. [Retinal involvement in Gaucher’s disease]. J Fr Ophtalmol. 1992;15(3):185-90. French.

(3.) Shrier EM, Barr CC, Grabowski GA. Vitreous opacities and retinal vascular abnormalities in Gaucher disease. Arch Ophthalmol. 2004 Sep;122(9):1395-8.

(4.) Koga T, Ando E, Hirata A, Fukushima M, Kimura A, Ando Y, et al. Vitreous opacities and outcome of vitreous surgery in patients with familial amyloidotic polyneuropathy. Am J Ophthalmol. 2003 Feb;135(2):188-93.

(5.) Giovannini A, Mariotti C, Scassellati-Sforzolini B, Amato G. Gaucher’s disease associated with choroidal neovascularization. Retina. 2000;20(6):679-81.

(6.) Rapizzi E, Vannozzi L, Borgioli V, Giansanti F, Murro V, Sodi A, et al. Vitrectomy for vitreous opacities and macular pucker in Gaucher disease. Eur J Ophthalmol. 2011 May-Jun;21(3):340-2. DOI 10.5301/EJO.2010.5797.

(7.) Wollstein G, Elstein D, Strassman I, Seelenfreund M, Zylbermann R, Zimran A. Preretinal white dots in adult-type Gaucher disease. Retina. 1999;19(6):570-1.

(8.) Hruska KS, LaMarca ME, Scott CR, Sidransky E. Gaucher disease: mutation and polymorphism spectrum in the glucocerebrosidase gene (GBA). Hum Mutat. 2008 May;29(5):567-83. DOI 10.1002/humu.20676.

(9.) Sidransky E. Gaucher disease: complexity in a “simple” disorder. Mol Genet Metab. 2004 Sep-Oct;83(1-2):6-15.

(10.) Pastores GM, Hughes DA. Gaucher Disease. In: Pagon RA, Adam MP, Ardinger HH, Wallace SE, Amemiya A, Bean LJ, et al., editors. GeneReviews(®) [Internet]. Seattle (WA): University of Washington, Seattle; 1993 [cited 2016 Feb 15]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK1269/

(11.) Elstein D, Abrahamov A, Dweck A, Hadas-Halpern I, Zimran A. Gaucher disease: pediatric concerns. Paediatr Drugs. 2002;4(7):417-26.

(12.) Kahn MF. [From “primitive spleen epithelioma” to Gaucher’s disease. Story of a forerunner]. Rev Med Interne. 2007 Oct;28 Suppl 2:S206-10. French.

(13.) Brady RO, Kanfer JN, Shapiro D. Metabolism of gluco-cerebrosides. II. Evidence Of an enzymatic deficiency in gaucher’s disease. Biochem Biophys Res Commun. 1965 Jan;18:221-5.

(14.) Jmoudiak M, Futerman AH. Gaucher disease: pathological mechanisms and modern management. Br J Haematol. 2005 Apr;129(2):178-88.

(15.) Grabowski GA. Phenotype, diagnosis, and treatment of Gaucher’s disease. Lancet. 2008 Oct;372(9645):1263- 71. DOI 10.1016/S0140-6736(08)61522-6.

(16.) Aviner S, Garty BZ, Rachmel A, Baris HN, Sidransky E, Shuffer A, et al. Type 2 Gaucher disease occurs in Ashkenazi Jews but is surprisingly rare. Blood Cells Mol Dis. 2009 Nov-Dec;43(3):294-7. DOI 10.1016/j.bcmd.2009.08.004.

(17.) Lozano Bernal JE. Enfermedad de Gaucher: Casuística del Tolima. Acta Med Colomb. 2006 Dec;31(4):416–21.

(18.) Berrebi A, Wishnitzer R, Von-der-Walde U. Gaucher’s disease: unexpected diagnosis in three patients over seventy years old. Nouv Rev Fr Hematol. 1984;26(3):201-3.

(19.) Grabowski GA. Gaucher disease and other storage disorders. Hematology Am Soc Hematol Educ Program. 2012;2012:13-8. DOI 10.1182/asheducation-2012.1.13.

(20.) Patterson MC, Horowitz M, Abel RB, Currie JN, Yu KT, Kaneski C, et al. Isolated horizontal supranuclear gaze palsy as a marker of severe systemic involvement in Gaucher’s disease. Neurology. 1993 Oct;43(10):1993-7.

(21.) Chu FC, Rodrigues MM, Cogan DG, Barranger JA. The pathology of pingueculae in Gaucher’s disease. Ophthalmic Paediatr Genet. 1984 Apr;4(1):7-11.

(22.) Guemes A, Kosmorsky GS, Moodie DS, Clark B, Meisler D, Traboulsi EI. Corneal opacities in Gaucher disease. Am J Ophthalmol. 1998 Dec;126(6):833-5.

(23.) Geens S, Kestelyn P, Claerhout I. Corneal manifestations and in vivo confocal microscopy of Gaucher disease. Cornea. 2013 Jul;32(7):e169-72. DOI 10.1097/ICO.0b013e31828d6d81.

(24.) Salgado-Borges J, Silva-Araújo A, Lemos MM, Sá-Miranda MC, Abreu-Dias P, Tavares MA. Morphological and biochemical assessment of the cornea in a Gaucher disease carrier with keratoconus. Eur J Ophthalmol. 1995 Apr-Jun;5(2):69-74.

(25.) Sheck LH, Wilson CJ, Vincent AL. Analysis of the pre-retinal opacities in Gaucher Disease using spectral domain optical coherent tomography. Ophthalmic Genet. 2012 Dec;33(4):253-6. DOI 10.3109/13816810.2012.716489.

(26.) Bruscolini A, Pirraglia MP, Restivo L, Spinucci G, Abbouda A. A branch retinal artery occlusion in a patient with Gaucher disease. Graefes Arch Clin Exp Ophthalmol. 2012 Mar;250(3):441-4. DOI 10.1007/s00417-011-1745-2.

(27.) McNeill A, Roberti G, Lascaratos G, Hughes D, Mehta A, Garway-Heath DF, et al. Retinal thinning in Gaucher disease patients and carriers: results of a pilot study. Mol Genet Metab. 2013 Jun;109(2):221-3. DOI 10.1016/j.ymgme.2013.04.001.

(28.) Seidova SF, Kotliar K, Foerger F, Klopfer M, Lanzl I. Functional retinal changes in Gaucher disease. Doc Ophthalmol. 2009 Apr;118(2):151-4. DOI 10.1007/s10633-008-9142-9.

(29.) Dweck A, Rozenman J, Ronen S, Zimran A, Elstein D. Uveitis in Gaucher disease. Am J Ophthalmol. 2005 Jul;140(1):146-7.

(30.) Accardo A, Pensiero S, Ciana G, Parentin F, Bembi B. Eye movement impairment recovery in a Gaucher patient treated with miglustat. Neurol Res Int. 2010;2010:358534. DOI 10.1155/2010/358534.

(31.) Tsai LP, Sue WC, Hwu WL, Lin KH, Wang TR. Oculo-motor apraxia in a case of Gaucher’s disease with homozygous T1448C mutation. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1996 Jan-Feb;37(1):52-5.

(32.) Bennett LL, Mohan D. Gaucher disease and its treatment options. Ann Pharmacother. 2013 Sep;47(9):1182-93. DOI 10.1177/1060028013500469.

(33.) Barton NW, Brady RO, Dambrosia JM, Di Bisceglie AM, Doppelt SH, Hill SC, et al. Replacement therapy for inherited enzyme deficiency--macrophage-targeted glucocerebrosidase for Gaucher’s disease. N Engl J Med. 1991 May;324(21):1464-70.

(34.) Anderson LJ, Henley W, Wyatt KM, Nikolaou V, Hughes DA, Waldek S, et al. Long-term effectiveness of enzyme replacement therapy in adults with Gaucher disease: results from the NCS-LSD cohort study. J Inherit Metab Dis. 2014 Nov;37(6):953-60. DOI 10.1007/s10545-014-9680-0.

(35.) Kaplan P, Baris H, De Meirleir L, Di Rocco M, El-Beshlawy A, Huemer M, et al. Revised recommendations for the management of Gaucher disease in children. Eur J Pediatr. 2013 Apr;172(4):447-58. DOI 10.1007/s00431-012-1771-z.

(36.) Zimran A, Gelbart T, Westwood B, Grabowski GA, Beutler E. High frequency of the Gaucher disease mutation at nucleotide 1226 among Ashkenazi Jews. Am J Hum Genet. 1991 Oct;49(4):855-9.

(37.) Schiffmann R, Fitzgibbon EJ, Harris C, DeVile C, Davies EH, Abel L, et al. Randomized, controlled trial of miglustat in Gaucher’s disease type 3. Ann Neurol. 2008 Nov;64(5):514-22. DOI 10.1002/ana.21491.

(38.) Futerman AH, Sussman JL, Horowitz M, Silman I, Zi- mran A. New directions in the treatment of Gaucher disease. Trends Pharmacol Sci. 2004 Mar;25(3):147-51.

(39.) Lukina E, Watman N, Arreguin EA, Dragosky M, Iastrebner M, Rosenbaum H, et al. Improvement in hematological, visceral, and skeletal manifestations of Gaucher disease type 1 with oral eliglustat tartrate (Genz-112638) treatment: 2-year results of a pha- se 2 study. Blood. 2010 Nov 18;116(20):4095-8. DOI 10.1182/blood-2010-06-293902.

(40.) Wenstrup RJ, Bailey L, Grabowski GA, Moskovitz J, Oestreich AE, Wu W, et al. Gaucher disease: alendronate disodium improves bone mineral density in adults receiving enzyme therapy. Blood. 2004 Sep;104(5):1253-7.

(41.) Samuel R, Katz K, Papapoulos SE, Yosipovitch Z, Zaizov R, Liberman UA. Aminohydroxy propylidene bisphosphonate (APD) treatment improves the clinical skeletal manifestations of Gaucher’s disease. Pediatrics. 1994 Sep;94(3):385-9.

(42.) Cassinerio E, Graziadei G, Poggiali E. Gaucher disease: a diagnostic challenge for internists. Eur J Intern Med. 2014 Feb;25(2):117-24. DOI 10.1016/j.ejim.2013.09.006.

(43.) McEachern KA, Nietupski JB, Chuang WL, Armentano D, Johnson J, Hutto E, et al. AAV8-mediated expression of glucocerebrosidase ameliorates the storage pathology in the visceral organs of a mouse model of Gaucher disease. J Gene Med. 2006 Jun;8(6):719-29.

(44.) Parenti G. Treating lysosomal storage diseases with pharmacological chaperones: from concept to clinics. EMBO Mol Med. 2009 Aug;1(5):268-79. DOI 10.1002/emmm.200900036.

(45.) Wang TJ, Chen MS, Shih YF, Hwu WL, Lai MY. Fundus abnormalities in a patient with type I Gaucher’s

disease with 12-year follow-up. Am J Ophthalmol. 2005 Feb;139(2):359-62.

(46.) vom Dahl S, Niederau C, Häussinger D. Loss of vision in Gaucher’s disease and its reversal by enzyme-replace- ment therapy. N Engl J Med. 1998 May;338(20):1471-2.

(47.) Marti GE, Ryan ET, Papadopoulos NM, Filling-Katz M, Barton N, Fleischer TA, et al. Polyclonal B-cell lymphocytosis and hypergammaglobulinemia in patients with Gaucher disease. Am J Hematol. 1988 Dec;29(4):189-94.

(48.) de Fost M, Out TA, de Wilde FA, Tjin EP, Pals ST, van Oers MH, et al. Immunoglobulin and free light chain abnormalities in Gaucher disease type I: data from an adult cohort of 63 patients and review of the literature. Ann Hematol. 2008 Jun;87(6):439-49. DOI 10.1007/s00277-008-0441-8.

(49.) Rosenbloom BE, Weinreb NJ, Zimran A, Kacena KA, Charrow J, Ward E. Gaucher disease and cancer in- cidence: a study from the Gaucher Registry. Blood. 2005 Jun;105(12):4569-72.

(50.) Lee NC, Chien YH, Wong SL, Sheen JM, Tsai FJ, Peng SF, et al. Outcome of early-treated type III Gaucher disease patients. Blood Cells Mol Dis. 2014 Sep;53(3):105-9. DOI 10.1016/j.bcmd.2014.05.007.

(51.) Stone DL, Carey WF, Christodoulou J, Sillence D, Nel- son P, Callahan M, et al. Type 2 Gaucher disease: the collodion baby phenotype revisited. Arch Dis Child Fetal Neonatal Ed. 2000 Mar;82(2):F163-6.

(52.) Souza AM, Muniz TP, Brito RM. Study of enzyme replacement therapy for Gaucher Disease: comparative analysis of clinical and laboratory parameters at diagnosis and after two, five and ten years of treatment. Rev Bras Hematol Hemoter. 2014 Sep- Oct;36(5):345-50. DOI 10.1016/j.bjhh.2014.05.005.

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Publicado

04-07-2017

Cómo citar

1.
Mejía-Turizo JC, Rojas-Múnera S, Orrego-Betancur SR, Franco-Echeverri CM, Arango-Simoni K. Manifestaciones oculares de la enfermedad de Gaucher: presentación de un caso y revisión del tema. Iatreia [Internet]. 4 de julio de 2017 [citado 8 de febrero de 2025];30(3):297-308. Disponible en: https://revistas.udea.edu.co/index.php/iatreia/article/view/26728

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