phenotype, with mild neurological involvement.11 However, 15 of 19
Caucasian patients homozygous for the p.L483P (L444P) had
neuronopathic GD.12 In addition, 9 of 12 Japanese patients with this
genotype who were originally diagnosed with non-neuronopathic GD,
developed neurological signs/symptoms during follow-up.13 Patient 2
died from cirrhosis and hepatic failure. Owing to no other identifiable
causes of cirrhosis, this could be a complication of GD. There are
several previous reports of GD patients dying from cirrhosis.14,15 This
p.L483P (L444P) mutation was found in four different haplotypes,