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Extraosseous manifestation of Gaucher's disease type I: MR and histological appearance
Authors:L. W. Poll  J.-A. Koch  S. vom Dahl  E. Loxtermann  M. Sarbia  C. Niederau  D. Häussinger  U. Mödder
Affiliation:(1) Department of Diagnostic Radiology, Heinrich Heine University Düsseldorf, Moorenstrasse 5, D-40225 Düsseldorf, Germany, DE;(2) Department of Medicine, Division of Gastroenterology, Hepatology and Infectious Diseases, Heinrich Heine University Düsseldorf, Moorenstrasse 5, D-40225 Düsseldorf, Germany, DE;(3) Department of Oral and Maxillofacial Surgery, Heinrich Heine University Düsseldorf, Moorenstrasse 5, D-40225 Düsseldorf, Germany, DE;(4) Department of Pathology, Heinrich Heine University Düsseldorf, Moorenstrasse 5, D-40225 Düsseldorf, Germany, DE;(5) Department of Internal Medicine, St. Josef Hospital, Mülheimerstrasse 83, D-46045 Oberhausen, Germany, DE
Abstract:Gaucher's disease type I is the most prevalent lysosomal storage disorder caused by an autosomal-recessive inherited deficiency of glucocerebrosidase activity with secondary accumulation of glucocerebrosides within the lysosomes of macrophages. The storage disorder produces a multisystem disease characterized by progressive visceral enlargement and gradual replacement of bone marrow with lipid-laden macrophages. Skeletal disease is a major source of disability in Gaucher's disease. Extraosseous extension of Gaucher cells is an extremely rare manifestation of skeletal Gaucher's disease. This is a report on the MRI and histopathological findings of an extraosseous Gaucher-cell extension into the midface in a patient with Gaucher's disease. Received: 27 January 2000; Revised: 15 March 2000; Accepted: 16 March 2000
Keywords:: Gaucher's disease type I –   Skeletal disease –   Bone marrow imaging –   MRI
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