Table 1

Summary of genotype and phenotype characteristics with respect to GD and CMMRDS

MotherFatherChild 1Child 2
Age, y 33 35 3.5 
GBA genotype D137N/WT D137N/WT D137N/D137N D137N/D137N 
GD phenotype 
    WBCs, × 109/L 6.2 ND 7.3 8.2 
    Hemoglobin, g/dL 11.8 ND 9.9 10.1 
    Platelets, × 109/L 222 ND 196 418 
    Liver volume, × normal ND ND 1.9 1.4 
    Spleen volume, × normal ND ND 6.3 2.4 
    MRI bone marrow ND ND EFD WNL 
    BM biopsy ND ND GC 3+ GC 3+ 
    Leukocyte β-glucosidase (range, 0.08-0.35/u/1010 cells) 0.06 0.07 0.01 0.01 
    CCL18 (normal, < 35 ng/mL) 62.9 28.3 1065 240 
    Chitotriosidase (normal, < 50), nmol/h/mL 26.6 27.6 6599 1408 
MSH6 genotype c.3822dupA/WT c.3822dupA/WT c.3822dupA/c.3822dupA c.3822dupA/c.3822dupA 
MSH6 phenotype 
    CALMs Absent Absent Present Present 
    Axillary freckling Absent Absent Present Present 
    Malignancy Absent Absent T-LBL T-LBL 
Overall phenotype LS LS GD/CMMRD GD/CMMRD 
MotherFatherChild 1Child 2
Age, y 33 35 3.5 
GBA genotype D137N/WT D137N/WT D137N/D137N D137N/D137N 
GD phenotype 
    WBCs, × 109/L 6.2 ND 7.3 8.2 
    Hemoglobin, g/dL 11.8 ND 9.9 10.1 
    Platelets, × 109/L 222 ND 196 418 
    Liver volume, × normal ND ND 1.9 1.4 
    Spleen volume, × normal ND ND 6.3 2.4 
    MRI bone marrow ND ND EFD WNL 
    BM biopsy ND ND GC 3+ GC 3+ 
    Leukocyte β-glucosidase (range, 0.08-0.35/u/1010 cells) 0.06 0.07 0.01 0.01 
    CCL18 (normal, < 35 ng/mL) 62.9 28.3 1065 240 
    Chitotriosidase (normal, < 50), nmol/h/mL 26.6 27.6 6599 1408 
MSH6 genotype c.3822dupA/WT c.3822dupA/WT c.3822dupA/c.3822dupA c.3822dupA/c.3822dupA 
MSH6 phenotype 
    CALMs Absent Absent Present Present 
    Axillary freckling Absent Absent Present Present 
    Malignancy Absent Absent T-LBL T-LBL 
Overall phenotype LS LS GD/CMMRD GD/CMMRD 

ND indicates not determined; WT, wild-type; WNL, within normal limits; EFD, Erlenmeyer-flask deformity; GC, Gaucher cells; and CCL18, chemokine (C-C motif) ligand 18.

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