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Current perception threshold testing in Fabry's disease.

L S Ro1, S T Chen, L M Tang

  • 1Department of Neurology, Chang Gung Memorial Hospital, and Chang Gung University, 199 Tung Hwa North Road, Taipei, Taiwan 10591. cgrols@adm.cgmh.com.tw

Muscle & Nerve
|October 8, 1999
PubMed
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Constant current perception threshold (CPT) testing effectively detects sensory neuropathy in Fabry

Area of Science:

  • Neurology
  • Genetics
  • Biochemistry

Background:

  • Fabry disease is a rare genetic disorder affecting sensory nerve fibers.
  • Assessing sensory neuropathy is crucial for understanding disease progression and management.
  • Existing diagnostic methods may have limitations in sensitivity.

Purpose of the Study:

  • To evaluate the efficacy of constant current perception threshold (CPT) testing in detecting sensory neuropathy in Fabry disease.
  • To compare CPT testing with nerve conduction studies (NCS) for diagnosing sensory neuropathy.
  • To explore correlations between CPT results, clinical symptoms, and biochemical markers.

Main Methods:

  • Investigated 16 patients (8 hemizygous men, 8 heterozygous women) from one family with Fabry disease.

Related Experiment Videos

  • Utilized constant current perception threshold (CPT) testing across three sensory nerve fiber populations.
  • Performed nerve conduction studies (NCS), clinical examinations, and biochemical analyses (serum alpha-galactosidase A activity, creatinine clearance).
  • Main Results:

    • Low-frequency CPT testing (5 and 250 Hz) demonstrated higher sensitivity in detecting sensory neuropathy compared to high-frequency CPT (2 kHz) and NCS.
    • No significant correlation was found between CPT results and clinical symptom scores, disease duration, renal function (creatinine clearance), or enzyme activity (alpha-galactosidase A).
    • Hemizygous men exhibited more severe symptoms, poorer renal function, and a higher prevalence of hypohidrosis and angiokeratomas than heterozygous women.

    Conclusions:

    • Low-frequency CPT testing is a sensitive tool for diagnosing sensory neuropathy in Fabry disease.
    • Clinical examination is valuable for differentiating disease severity between hemizygous men and heterozygous women.
    • Biochemical markers like serum alpha-galactosidase A activity do not reliably predict clinical severity or renal function in Fabry disease.