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Life‐threatening splenic hemorrhage in two patients with Gaucher disease
Author(s) -
Stone Deborah L.,
Ginns Edward I.,
Krasnewich Donna,
Sidransky Ellen
Publication year - 2000
Publication title -
american journal of hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.456
H-Index - 105
eISSN - 1096-8652
pISSN - 0361-8609
DOI - 10.1002/(sici)1096-8652(200006)64:2<140::aid-ajh14>3.0.co;2-t
Subject(s) - medicine , disease , gaucher's disease , splenectomy , surgery , splenic disease , spleen
Massive splenomegaly is a frequent finding in patients with Gaucher disease, the most common of the sphingolipidoses. Even so, the risk for splenic rupture and intracapsular hemorrhage has not been emphasized due to the rarity of this occurrence and the fibrotic, rubbery consistency of splenic tissue in these patients. We report two adult patients with type 1 Gaucher disease who suffered life‐threatening splenic bleeds that were not acutely diagnosed. Both patients ultimately required emergent splenectomies. Factors complicating the diagnosis of splenic hemorrhage in patients with Gaucher disease are discussed. Am. J. Hematol. 64:140–142, 2000. Published 2000 Wiley‐Liss, Inc.