Doppler ultrasound study of portal hemodynamics in patients with Gaucher disease

Autor: Šarenac-Kovač Radmila, Perišić Mirjana, Tomić Dragan, Dimitrijević Slađana, Jurišić Vladimir
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Archives of Biological Sciences, Vol 67, Iss 1, Pp 11-18 (2015)
Druh dokumentu: article
ISSN: 0354-4664
1821-4339
DOI: 10.2298/ABS140505001S
Popis: Gaucher disease is a lysosomal storage disorder caused by a deficiency of the enzyme glucocerebrosidase and characterized by the presence of pathological macrophages laden with glucosylceramide. Hepatosplenomegaly is a common manifestation of Gaucher disease, but symptomatic portal hypertension is rarely seen. The study included 20 untreated adult patients with Gaucher disease (non-neuronopathic type 1) diagnosed with the presence of Gaucher cells in the bone marrow, and 20 healthy subjects as controls. The examination of patients included color Doppler ultrasonography (pulsed Doppler mode), resistive index (RI) and Doppler perfusion index (DPI) using a Toshiba Xario ultrasound machine and a convex array probe PVT-375AX (1.9-6 MHz) with the objective of analyzing portal hemodynamics. Results showed that all patients had enlarged liver and spleen, and their average sizes were significantly larger than those in the healthy controls (liver: 17.04 vs.14.02 cm; spleen: 22.2 vs. 10.74 cm). DPI values were significantly different between patients and controls (0.15 vs. 0.21). Considering DPI
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