title: [Late diagnosis of Gaucher's disease - care reports].
abstract: Gaucher's disease if one of the most frequent, among extremely rare, lysosomal storage diseases. It is the autosomal recessive inherited metabolic disorder, which can present in three main clinical forms. Type 1 - the most benign, in a not-neuropathic form, and types 2 and 3, both in neuropathic form, which manifest serious neurological symptoms.
  
  
  OBJECTIVE
  The aim of the study was to draw attention to the late diagnosing of Gaucher's disease in the Polish population and to popularize the knowledge about this ultra-rare disease.
  
  
  METHODS
  Having analyzed the cases of our patients, we have concluded that the diagnosis of Gaucher's disease type 1 is often made with a time delay of up to several years. The lack of deeper knowledge about the disease and its symptoms among the physicians was found a main reason for this time lag. The disease is usually not taken into consideration in difference diagnosis due to its "ultra-rare" character. Furthermore, the course of the disease is usually occult with no spectacular symptoms, whereas the frequently occurring chronic weakness and bone pains are not treated as serious pathology.
  
  
  CONCLUSIONS
  Early diagnosis of the Gaucher's disease gives patients the chance of an appropriate, effective substitutive therapy, as well as recovery of organ disturbances.
authors.affiliation: Medical University of Lublin, Poland: Chair and Department of Internal Diseases.
authors.forename: Monika
authors.initials: M
authors.lastname: Dyczko
authors.affiliation: Medical University of Lublin, Poland: Chair and Department of Pneumonology, Oncology and Allergology.
authors.forename: Anna
authors.initials: A
authors.lastname: Grzywa-Celińska
authors.affiliation: Medical University of Lublin, Poland: Chair and Department of Internal Diseases.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Barud
authors.affiliation: Medical University of Lublin, Poland: Cardiology Unit with Cardiac Intensive Care Unit, Regional Specialist Hospital in Lublin, Poland.
authors.forename: Rafał
authors.initials: R
authors.lastname: Celiński
authors.affiliation: Medical University of Lublin, Poland: Cardiology Unit with Cardiac Intensive Care Unit, Regional Specialist Hospital in Lublin, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Dworzański
authors.affiliation: Medical University of Lublin, Poland: Chair and Department of Pneumonology, Oncology and Allergology.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Szmygin-Milanowska
authors.affiliation: Medical University of Lublin, Poland: Chair and Department of Internal Diseases.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Mosiewicz
mesh_terms: D000328:Adult; D057210:Delayed Diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005776:Gaucher Disease / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011044:Poland
keywords: Gaucher’s disease; diagnosis; lysosomal storage diseases