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Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1998 Sep;35(9):775–777. doi: 10.1136/jmg.35.9.775

Recurrence of the D409H mutation in Spanish Gaucher disease patients: description of a new homozygous patient and haplotype analysis.

A Chabás 1, L Gort 1, M Montfort 1, F Castelló 1, M C Domínguez 1, D Grinberg 1, L Vilageliu 1
PMCID: PMC1051434  PMID: 9733040

Abstract

Gaucher disease results, in most patients, from mutations in the gene encoding glucocerebrosidase. Mutation D409H is the third most frequent in Spanish patients, accounting for 5.7% of all mutated alleles. This allele is associated mainly with the neurological forms of the disease. Recently, homozygosity for the D409H mutation has been associated with a particular phenotype, including specific cardiovascular symptoms. Here we report a second Spanish patient bearing the D409H/D409H genotype with a very early manifestation of the disease. The patient started enzyme replacement therapy at 3 months of age. A common origin for the Spanish D409H alleles was ruled out by haplotype analysis using an internal polymorphism of the glucocerebrosidase gene and two external microsatellite markers.

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Selected References

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