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Fabry's disease--a comprehensive review on pathogenesis, diagnosis and treatment.
[fabry disease]
Fabry
's
is
a
progressive
,
destructive
and
life
threatening
disease
which
reduces
significantly
life
expectancy
of
the
affected
individual
.
It
is
a
genetic
disorder
of
X-
linked
inheritance
caused
by
deficiency
of
lysosomal
enzyme
alpha-galactosidase
A
resulting
in
progressive
accumulation
of
glycosphingolipids
within
different
body
cells
.
Fabry
's
deposits
are
defined
histopathologically
as
lamellate
membrane
like
structure
called
myeloid
or
Zebra
bodies
.
Clinical
manifestations
of
disease
are
hypohidrosis
,
acroparesthesias
,
heat
intolerance
,
angiokeratomas
,
corneal
opacities
,
cardiac
arrhythmias
,
left
ventricular
hypertrophy
,
proteinuria
,
renal
insufficiency
and
cerebrovascular
accidents
.
Diagnosis
of
Fabry
's
need
a
high
clinical
suspicion
,
good
physical
examination
,
organ
specific
tests
and
is
confirmed
by
demonstrating
low
enzyme
assays
in
homozygous
males
and
gene
typing
in
heterozygous
females
.
Specific
therapy
for
Fabry
's
disease
is
enzyme
replacement
with
recombinant
human
alpha-galactosidase
A
.
If
started
early
it
has
a
promising
role
in
renal
and
cardiac
disease
however
beneficial
role
is
not
yet
defined
in
CNS
involvement
.
Diseases
Validation
Diseases presenting
"renal insufficiency"
symptom
erdheim-chester disease
fabry disease
familial mediterranean fever
junctional epidermolysis bullosa
primary effusion lymphoma
primary hyperoxaluria type 1
sneddon syndrome
systemic capillary leak syndrome
This symptom has already been validated