Stirnemann J
Service de Médecine Interne, Hôpital Jean-Verdier, avenue du 14 juillet, 93140 Bondy, France.
Rev Med Interne. 2006 Mar;27 Suppl 1:S18-21. doi: 10.1016/s0248-8663(06)80006-8.
A census is currently being carried out of the French cohort of Gaucher disease patients. This article describes its preliminary results, obtained by analysing the records of 101 patients for whom clinical and laboratory data were accessible while they were receiving enzyme therapy. At the time of diagnosis, all patients presented with splenomegaly, 70% had asthenia and one in three was already affected by major bone damage. After 1 year of enzyme therapy, splenomegaly had diminished by half and the different scores (asthenia, bone pain and abdominal pain, etc.) had markedly improved, as had the biochemical markers. As for the 6 patients affected by type 3 Gaucher disease and treated with enzyme therapy after the onset of neurological signs, a stabilisation or even some improvement of the disease was observed. In-depth study of the French cohort should make it possible to formulate consensus recommendations for the future, based on well-established data.
目前正在对法国戈谢病患者队列进行普查。本文介绍了其初步结果,这些结果是通过分析101例在接受酶替代疗法期间可获取临床和实验室数据的患者记录而获得的。诊断时,所有患者均有脾肿大,70%有乏力症状,三分之一的患者已出现严重骨损伤。酶替代疗法1年后,脾肿大缩小了一半,不同评分(乏力、骨痛和腹痛等)以及生化指标均有明显改善。对于6例在出现神经症状后接受酶替代疗法的3型戈谢病患者,观察到病情稳定甚至有所改善。对法国队列的深入研究应能根据确凿的数据为未来制定共识性建议。