Open AccessA rare homozygous p.Arg87Trp variant of the GBA gene in Gaucher disease: A case report
Author(s) -
Jilani Houweyda,
Hsoumi Faten,
Rejeb Imen,
Elaribi Yasmina,
Hizem Syrine,
Sebai Molka,
Rolfs Arndt,
Benjemaa Lamia
Publication year - 2022
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.5846
Subject(s) - medicine , rare disease , abdominal distension , disease , pathology , population , scoliosis , gastroenterology , surgery , environmental health
Abstract Gaucher disease (GD) is a rare metabolic disorder due to pathogenic variants in the GBA gene. We report the first case of the rare p.Arg87Trp pathogenic variant (formerly known as R48W) of the GBA gene in the Tunisian population. A female Arab patient was assessed at the age of 26 due to abdominal distension, bone pain, and headache since she was 25. Physical examination revealed splenomegaly, rib deformation, lumbar scoliosis, and upper limb tremor. Bone marrow was infiltrated by Gaucher cells. The patient was homozygous for the rare p.Arg87Trp variant which is known to be associated with a mild phenotype. This report highlights the necessity of screening the Tunisian population for this rare variant.