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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
"early diagnosis"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
erdheim-chester disease
erythropoietic protoporphyria
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
kallmann syndrome
kindler syndrome
krabbe disease
locked-in syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
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