Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Perinatal/Neonatal Case Presentation
  • Published:

Perinatal/Neonatal Case Presentation

Neonatal Gaucher Disease Presenting as Persistent Thrombocytopenia

Abstract

Mutations in the β-glucocerebrosidase gene cause Gaucher disease with the type 1 variant generally presenting later in life with mild disease and type 2 in infancy with severe neuronopathic symptoms. We describe a neonate homozygous for the D409 H mutation with thrombocytopenia, splenomegaly and cholestasis at birth as the major features.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Mehta P, Vasa R, Neumann L, Karpatkin M . Thrombocytopenia in the high risk infant. J Pediatr 1980;97:791–794.

    Article  CAS  Google Scholar 

  2. Castle V, Andrew M, Kelton J, Giron D, Johnston M, Carter C . Frequency and mechanism of neonatal thrombocytopenia. J Pediatr 1986;108:749–755.

    Article  CAS  Google Scholar 

  3. Uhrynowska M, Maslanka K, Zupanska B . Neonatal thrombocytopenia: incidence, serological and clinical observations. Am J Perinatol 1997;14:415–418.

    Article  CAS  Google Scholar 

  4. Sola MC, Christensen RD . Developmental aspects of platelets and disorders in the neonatal period In: Christensen RD, editor. Hematologic Problems of the Neonate. Philadelphia, PA: WB Saunders; 2000. p. 273–309.

    Google Scholar 

  5. Wilcox WR . Lysosomal storage disorders: the need for better pediatric recognition and comprehensive care. J Pediatr 2004;144:S3–S14.

    Article  Google Scholar 

  6. Kolodny EH, Charria-Ortiz G . Storage diseases of the reticuloendothelial system In: Nathan DG, Orkin SH, Ginsburg D, Look AT, editors. Hematology of Infancy and Childhood. 6th ed. Philadelphia, PA: WB Saunders; 2003. p. 1399–1454.

    Google Scholar 

  7. Grabowski GA . Gaucher disease: lessons from a decade of therapy. J Pediatr 2004;144:S15–S19.

    Article  Google Scholar 

  8. Filocam M, Mazzotti R, Stroppiano M, et al. Analysis of the glucocerebrosidase gene and mutation profile in 144 Italian Gaucher patients. Hum Mutat 2002;20:234–235.

    Article  Google Scholar 

  9. Michelakakis H, Skardoutsou A, Mathioudakis J, Dimitriou E, Voudris C, Karpathios T . Early onset severe neurological involvement and D409H homozygosity in Gaucher disease: outcome of enzyme replacement therapy. Blood Cells Mol Dis 2002;28:1–4.

    Article  CAS  Google Scholar 

  10. George R, Mcmahon J, Lytle B, Clark B, Lichtin A . Severe valvular and aortic arch calcification in a patient with Gaucher's disease homozygous for the D409H mutation. Clin Genet 2001;59:360–363.

    Article  CAS  Google Scholar 

  11. Inui K, Yanagihara K, Otani K, et al. A new variant neuropathic type of Gaucher's disease characterized by hydrocephalus, corneal opacities, deformed toes and fibrous thickening of spleen and liver capsules. J Pediatr 2001;138:137–139.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Current address of S.S.K.: Division of Genetics, Department of Pediatrics, UMDNJ/Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Roth, P., Sklower Brooks, S., Potaznik, D. et al. Neonatal Gaucher Disease Presenting as Persistent Thrombocytopenia. J Perinatol 25, 356–358 (2005). https://doi.org/10.1038/sj.jp.7211262

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jp.7211262

This article is cited by

Search

Quick links