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[Clinical and histological findings in Fabry nephropathy].
[fabry disease]
Fabry
disease
is
a
complex
pathology
,
requiring
a
multidisciplinar
approach
both
in
the
diagnostic
workout
and
in
the
management
of
therapy
.
Clinical
criteria
able
to
predict
its
morbidity
have
not
yet
been
found
.
The
wide
variability
of
clinical
signs
and
symptoms
requires
an
individual
approach
based
on
the
single
patient
,
in
order
to
achieve
an
optimal
management
.
Enzyme
replacement
therapy
(
ERT
)
has
been
introduced
in
the
clinical
setting
for
over
ten
years
,
but
its
ability
to
change
the
course
of
the
disease
has
not
yet
been
clearly
proved
.
Recently
the
hypothesis
that
ERT
may
be
ineffective
in
patients
with
severe
organ
involvement
has
emerged
.
The
clinical
course
of
Fabry
disease
is
usually
slower
in
eterozygous
women
than
emizygous
men
,
but
can
be
frequently
associated
to
severe
organ
failure
and
premature
death
in
both
cases
.
In
this
review
we
discuss
the
histological
aspects
of
Fabry
nephropathy
in
relation
to
diagnosis
,
prognosis
,
therapy
and
its
effectiveness
.
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"in order to achieve an optimal management"
symptom
fabry disease
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