Fabry's disease: Difference between revisions

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==[[Fabry's disease pathophysiology|Pathophysiology]]==
==[[Fabry's disease pathophysiology|Pathophysiology]]==


==Epidemiology and Demographics==
==[[Fabry's disease epidemiology and demographics|Epidemiology and Demographics]]==
The [[prevalence]] of Fabry disease is estimated to range from 1:17,000 to 1:117,000 males in Caucasian populations.<ref name="pmid11889412">{{cite journal |author=Branton MH, Schiffmann R, Sabnis SG, ''et al.'' |title=Natural history of Fabry renal disease: influence of alpha-galactosidase A activity and genetic mutations on clinical course |journal=[[Medicine]] |volume=81 |issue=2 |pages=122–38 |year=2002 |month=March |pmid=11889412 |doi= |url=}}</ref><ref name="pmid9918480">{{cite journal |author=Meikle PJ, Hopwood JJ, Clague AE, Carey WF |title=Prevalence of lysosomal storage disorders |journal=[[JAMA : the Journal of the American Medical Association]] |volume=281 |issue=3 |pages=249–54 |year=1999 |month=January |pmid=9918480 |doi= |url=}}</ref>


==Diagnosis==
==Diagnosis==

Revision as of 18:52, 22 August 2012

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Fabry's disease Microchapters

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Overview

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Diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aarti Narayan, M.B.B.S [2]

Synonyms and keywords: Anderson-Fabry disease; angiokeratoma corporis diffusum universale; alpha-galactosidase A deficiency; ceramide trihexosidase deficiency; hereditary dystopic lipidosis; GLA deficiency; Sweeley-Klionsky disease

Overview

Historical Perspective

Classification

Pathophysiology

Epidemiology and Demographics

Diagnosis

Symptoms

Physical Examination

Appearance

Vital Signs

Skin

Head

  • Neck retraction

Eyes

Ear

Heart

Abdomen

Extremities

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Laboratory Findings

ECG abnormalities

Ultrasound

Treatment

  • Until recently, treatment of Fabry's disease targeted the symptomatic effects. However, it is currently being treated at the cellular level through enzyme replacement therapy using Agalsidase alpha (Replagal) and Agalsidase beta (Fabrazyme®).
  • The cost of these drugs is problematic (approximately $170,000 US a year/patient) and remains a barrier to many patients in some countries. Enzyme replacement therapy (typically infused every two weeks) may be performed in the patient's home by the patients themselves. Enzyme replacement therapy is not a cure, and must be infused recurrently for maximum benefit.

References

External links


de:Morbus Fabry fi:Fabryn tauti

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