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Brief Title: GammaGA: Prevalence of Acid Sphingomyelinase Deficiency Disease (ASMD) and Gaucher Disease in Patients With Monoclonal Gammopathies and/or Multiple Myeloma
Official Title: GammaGA: Study of the Prevalence of Acid Sphingomyelinase Deficiency Disease (ASMD) and Gaucher Disease in Patients With Monoclonal Gammopathies and/or Multiple Myeloma
Study ID: NCT05992532
Brief Summary: The study of splenomegaly, and the follow-up of splenectomized patients, is one of the causes of referral of these patients to pediatric gastroenterology and oncohematology clinics, and adult internal medicine and hematology. The study and management of splenomegaly is well described among the different medical specialties to which these patients arrive. After the application of the different algorithms and the different studies that are carried out, these splenomegaly are identified as being of hepatic, infectious, inflammatory, congestive, hematological origin and primary causes. Despite these studies of splenomegaly, approximately 10-15% of these patients still remain undiagnosed. Several studies have suggested that there is an increased frequency of MGUS (monoclonal gammopathy of undetermined significance) and/or multiple myeloma (MM) among Gaucher patients. Regarding ASMD (Acid Sphingomyelinase Deficiency), few studies have been published but it seems the 21% of patient with ASMD has MGUS and 15% ASMD patients have MGUS. Moreover, patients with MGUS and Gaucher disease (GD) are at increased risk of developing MM. The objective of the present study is to increase the diagnostic sensitivity of these unknown splenomegalys, or unknown splenomegaly patients with MGUS or multiple myeoloma who remain in consultations, using the usual diagnostic clinical procedures of unknown splenomegaly and unknown splenectomy patients, where we include the extraction of a blood sample for dry drop test (DBS), where the determination of the enzymatic/genetic activity will be carried out for Gaucher disease (GD) and acid sphingomyelinase deficiency (ASMD) , analysis of LisoGl1 and LisoSM.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Hospital Universitario de Álava, Vitoria, Alava, Spain
Hospital Parc Taulí, Sabadell, Barcelona, Spain
Hospital de Manises, Valencia, Comunidad Valenciana, Spain
Hospital Son Espases, Palma De Mallorca, Islas Baleares, Spain
Hospital del Bierzo, Ponferrada, León, Spain
Hospital Alvaro Cunqueiro, Vigo, Pontevedra, Spain
Hospital Alcañiz, Alcañiz, Teruel, Spain
Hospital Clínico Universitario de Valladolid, Valladolid, Zaragoza, Spain
Hospital Universitario Torrecárdenas, Almería, , Spain
Hospital Universitario de Burgos, Burgos, , Spain
Hospital Universitario Dr. Josep Trueta, Girona, , Spain
Hospital Universitario Virgen de las Nieves, Granada, , Spain
Hospital San Jorge, Huesca, , Spain
Hospital de Jaén, Jaén, , Spain
Hospital Arnau de Vilanova, Lleida, , Spain
Hospital Universitario Ramón y Cajal, Madrid, , Spain
Hospital Fundación Jiménez Díaz, Madrid, , Spain
Hospital Regional Universitario de Málaga, Málaga, , Spain
Complejo Hospitalario Universitario de Orense, Orense, , Spain
Hospital Universitario y Politécnico La Fe, Valencia, , Spain
Complejo Asistencial de Ávila, Ávila, , Spain