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Fabry disease: clinical and genotypic aspects of three cases in first degree relatives.
[fabry disease]
Fabry
disease
is
an
X-
linked
,
lysosomal
storage
disease
caused
by
the
inherited
deficiency
of
the
enzyme
α-galactosidase
A
.
The
diagnosis
is
usually
late
,
with
renal
,
cardiovascular
and
/
or
cerebral
complications
that
reduce
life
expectancy
.
Angiokeratomas
are
asymptomatic
lesions
present
as
the
initial
manifestation
and
usually
less
appreciated
.
Their
detection
is
important
for
early
diagnosis
and
institution
of
treatment
with
enzyme
replacement
therapy
,
which
prevents
late
complications
reducing
morbidity
and
mortality
.
We
report
a
case
of
a
male
teenager
with
acroparestesias
and
angiokeratomas
.
Family
medical
research
discovered
that
his
mother
and
brother
had
similar
signs
and
symptoms
and
that
the
three
patients
had
the
same
mutation
in
the
gene
encoding
the
enzyme
,
confirming
the
diagnosis
.
Diseases
Validation
Diseases presenting
"institution of treatment with enzyme replacement therapy"
symptom
fabry disease
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