The Journal of Bone and Joint Surgery, Vol 68, Issue 9 1380-1388, Copyright © 1986 by Journal of Bone and Joint Surgery, Inc
Osteomyelitis in Gaucher disease
RS Bell, HJ Mankin and SH Doppelt
A relatively common complication of Gaucher disease, the so-called crisis,
frequently is difficult to differentiate from acute osteomyelitis. We
reviewed the cases of forty-nine patients with Gaucher disease who were
treated at the Massachusetts General Hospital and found that eleven
patients had required admission to the hospital for an acute symptom
complex that represented either a crisis or an infection. Five of the
patients proved to have acute hematogenous osteomyelitis. The delayed
diagnosis of the infection in three of the patients with osteomyelitis led
to an unsatisfactory outcome.