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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
.
Diseases
Validation
Diseases presenting
"single patient"
symptom
carcinoma of the gallbladder
epidermolysis bullosa simplex
esophageal carcinoma
fabry disease
hereditary cerebral hemorrhage with amyloidosis
lamellar ichthyosis
neuralgic amyotrophy
pendred syndrome
scrub typhus
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