E-ISSN 2231-170X | ISSN 2231-1696
 

Original Article 


Screening for Gaucher's disease in unexplained spleenomegaly and/or thrombocytopenia: An observational study

Himangi Tak, Ashok Gupta, Himani Tak, Kamlesh Agarwal.

Abstract
Gaucher's disease is a hereditary disease that can be diagnosed by determination of acid beta glucosidase enzyme activity on leucocytes but it's diagnosis is mostly delayed due to limited availability of test. The aim of the study was to determine prevalence of Gaucher's disease in patients of unexplained spleenomegaly and/or thrombocytopenia using dried blood spot filter test. This prospective cross sectional study was conducted after approval from Institutional ethical committee in 222 subjects, assuming 3.6% prevalence of the disease among unexplained cases of splenomegaly with 95% confidence interval, 0.05 α error, 80% power and with an absolute allowable error of 2.5%. After implementation of the diagnostic algorithm, samples from the patients were collected on dried blood pot filter paper and sent for analysis. Patients who tested positive by screening test were confirmed through mutational analysis done from the same sample. Data was expressed as mean, proportions and percentages. Mann Whitney test, Chi square test and Fisher's exact test were used for analysis. The prevalence of Gaucher's disease in our study population was 2.7% (CI 0.54 to 4.86) with the odds ratio for gender calculated as 3(95% CI 0.344 to 26.134). The results of this study show that the use of an appropriate diagnostic algorithm and DBS filter test facilitate early diagnosis and management of a rare disease, thereby saving a lot of medical resources while simultaneously improving the quality of life in patients.

Key words: Dried blood spot filter test, Gaucher's disease, Splenomegaly, Thrombocytopenia


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Himangi Tak
Articles by Ashok Gupta
Articles by Himani Tak
Articles by Kamlesh Agarwal
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Tak H, Gupta A, Tak H, Agarwal K. Screening for Gaucher's disease in unexplained spleenomegaly and/or thrombocytopenia: An observational study. J Med Allied Sci. 2021; 11(2): 120-124. doi:10.5455/jmas.2070


Web Style

Tak H, Gupta A, Tak H, Agarwal K. Screening for Gaucher's disease in unexplained spleenomegaly and/or thrombocytopenia: An observational study. https://jmas.in/?mno=2070 [Access: December 04, 2023]. doi:10.5455/jmas.2070


AMA (American Medical Association) Style

Tak H, Gupta A, Tak H, Agarwal K. Screening for Gaucher's disease in unexplained spleenomegaly and/or thrombocytopenia: An observational study. J Med Allied Sci. 2021; 11(2): 120-124. doi:10.5455/jmas.2070



Vancouver/ICMJE Style

Tak H, Gupta A, Tak H, Agarwal K. Screening for Gaucher's disease in unexplained spleenomegaly and/or thrombocytopenia: An observational study. J Med Allied Sci. (2021), [cited December 04, 2023]; 11(2): 120-124. doi:10.5455/jmas.2070



Harvard Style

Tak, H., Gupta, . A., Tak, . H. & Agarwal, . K. (2021) Screening for Gaucher's disease in unexplained spleenomegaly and/or thrombocytopenia: An observational study. J Med Allied Sci, 11 (2), 120-124. doi:10.5455/jmas.2070



Turabian Style

Tak, Himangi, Ashok Gupta, Himani Tak, and Kamlesh Agarwal. 2021. Screening for Gaucher's disease in unexplained spleenomegaly and/or thrombocytopenia: An observational study. Journal of Medical and Allied Sciences, 11 (2), 120-124. doi:10.5455/jmas.2070



Chicago Style

Tak, Himangi, Ashok Gupta, Himani Tak, and Kamlesh Agarwal. "Screening for Gaucher's disease in unexplained spleenomegaly and/or thrombocytopenia: An observational study." Journal of Medical and Allied Sciences 11 (2021), 120-124. doi:10.5455/jmas.2070



MLA (The Modern Language Association) Style

Tak, Himangi, Ashok Gupta, Himani Tak, and Kamlesh Agarwal. "Screening for Gaucher's disease in unexplained spleenomegaly and/or thrombocytopenia: An observational study." Journal of Medical and Allied Sciences 11.2 (2021), 120-124. Print. doi:10.5455/jmas.2070



APA (American Psychological Association) Style

Tak, H., Gupta, . A., Tak, . H. & Agarwal, . K. (2021) Screening for Gaucher's disease in unexplained spleenomegaly and/or thrombocytopenia: An observational study. Journal of Medical and Allied Sciences, 11 (2), 120-124. doi:10.5455/jmas.2070