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. 2021 Oct 14;16:431. doi: 10.1186/s13023-021-02034-6

Table 2.

Bone manifestations and radiological characteristics of the GAUCHERITE cohort and subgroups at recruitment

Variables Categories* Entire cohort (N = 250) [%] Children
(N = 26) [%]
Adults
(N = 224) [%]
Gaucher Type 1 (N = 223) [%] Gaucher Type 3 (N = 27) [%]
History of Fragility fracture Yes 37 [15] 37 [17] 29 [13] 8 [30]
1 fracture 22 22 17 5
 > 1 fracture 15 15 12 3
Age at 1st event, years, mean ± SD 38 ± 19 38 ± 19 42 ± 18 23 ± 16
Median (range) 36 (4–78) 36 (4–78) 44 (13–78) 20 (4–50)
No 213 [85] 26 [100] 187 [83] 194 [87] 19 [70]
Fracture site Spine 24 24 20 4
Hip/Femur 23 23 15 8
Ribs 12 12 10 2
Wrist 5 5 4 1
Other bones 15 15 14 1
History of Symptomatic Osteonecrosis Yes 76 [30] 76 [34] 70 [31] 6 [22]
1 event 43 43 39 4
 ≥ 2 events 33 33 31 2
Mean age ± SD at 1st event, years 26 ± 16 26 ± 16 26 ± 16 14 ± 2
Median age (range) 22 (4–64) 22 (4–64) 22 (4–64) 14 (12–16)
Age unknown 4 4 2 1
No 174 [70] 26 [100] 148 [66] 153 [69] 21 [78]

Symptoms of

Osteonecrosis event

Yes 76 [30] 76 [34] 70 [31] 6 [22]
Classical acute bone crisis 30 30 27 3
Pain 45 45 42 3
Symptomatic, other than pain 1 1 1
Presence of bone/joint pain Yes 131 52] 4 [15] 127 [57] 118 [53] 13 [48]
Continuous/chronic 31 31 27 4
Frequently 34 1 33 31 3
Occasional 41 3 38 37 4
Pain periodicity not recorded 25 25 23 2
No 70 [28] 13 [50] 57 [25] 61 [27] 9 [33]
Unknown 49 [20] 9 [35] 40 [18] 44 [20] 5 [19]
Severity of bone/joint pain (GD1–DS3 score) Yes 129 [52] 4 [15] 125 [56] 116 [52] 13 [48]
Extreme 2 2 2
Severe 14 14 13 1
Moderate 47 1 46 41 6
Mild 41 1 40 39 2
Pain severity not recorded 25 2 23 21 4
Unknown 121 [48] 22 [85] 99 [44] 107 [48] 14 [52]
Lytic lesions Yes 13 [5] 13 [6] 11 [5] 2 [7]
No 237 [95] 26 [100] 211 [94] 212 [95] 25 [93]
Osteoarthritis Yes 105 [42] 105 47] 100 [45] 5 [19]
No 145 [58] 26 [100] 119 [53] 123 55] 22 [81]
Orthopaedic procedure Yes 62 [25] 62 [28] 55 [25] 7 [26]
No 188[75] 26 [100] 162 [72] 168 [75] 20 [74]
DXA
Spine Number available 189 15 174 171 18
BMD, g/cm2, mean ± SD 0.984 ± 0.150 0.836 ± 0.189 0.997 ± 1.139 0.989 ± 0.144 0.937 ± 0.196
Median (range) 0.982 (0.547–1.446) 0.759 (0.547–1.151) 0.986 (0.695–1.446) 0.982 (0.603–1.446) 0.989 (0.547–1.248)
Total Hip Number 165 3 162 152 13
BMD, g/cm2, mean ± SD 0.930 ± 0.153 0.716 ± 0.133 0.935 ± 0.151 0.934 ± 0.153 0.892 ± 0.159
Median (range) 0.924 (0.600–1.276) 0.687 (0.600–0.861) 0.926 (0.607–1.276) 0.923 (0.607–1.276) 0.874 (0.600–1.253)
Femoral Neck Number 165 3 162 152 13
BMD, g/cm2, mean ± SD 0.813 ± 0.152 0.615 ± 0.120 0.816 ± 0.151 0.814 ± 0.153 0.793 ± 0.152
Median (range) 0.801 (0.464–1.360) 0.640 (0.485–0.719) 0.804 (0.464–1.360) 0.804 (0.464–1.360) 0.789 (0.485–1.061)
Forearm Number 77 77 70 7
BMD, g/cm2, mean ± SD 0.658 ± 0.103 0.658 ± 0.103 0.660 ± 0.104 0.644 ± 0.090
Median (range) 0.653 (0.458–0.871) 0.653 (0.458–0.871) 0.654 (0.458–0.871) 0.632 (0.513–0.778)

BMD bone mineral density, DXA Dual-energy X-ray absorptiometry, GD1-DS3 Gaucher disease type 1 severity scoring system, SD standard deviation

*Categorical variables are expressed as frequency [percent]. Continuous variables are expressed as mean ± SD and median (range)