Related Experiment Video
Updated: Jul 14, 2026

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis
Published on: August 29, 2025
[Fabry disease in childhood]
Brigitte Chabrol1, Hicham Mansour, Aline Cano
1Centre de Référence des Maladies Métaboliques de l'Enfant, Hôpital d'Enfants, CHU de la Timone, Marseille (13), France. brigitte.chabrol@ap-hm.fr
Insights
Fabry disease, a genetic disorder causing glycosphingolipid buildup, often goes undiagnosed in childhood. Early enzyme replacement therapy is crucial for preventing severe organ damage.
Area of Science:
- Genetics and rare diseases
- Lysosomal storage disorders
- Metabolic diseases
Context:
- Fabry disease results from glycosphingolipid accumulation (globotriaosylceramide) in tissues like kidneys, heart, and brain.
- Early symptoms such as hypohidrosis and skin lesions are often missed, leading to diagnostic delays.
- It is an X-linked disorder, but symptomatic carriers (females) can also occur.
Purpose:
- To highlight the importance of early diagnosis in Fabry disease.
- To discuss the potential of enzyme replacement therapy (ERT) in preventing severe manifestations.
- To address the ongoing specialist discussions regarding ERT initiation in childhood.
Summary:
- Fabry disease is characterized by the accumulation of globotriaosylceramide (Gb3) due to lysosomal dysfunction.
- Delayed diagnosis is common due to unrecognized early symptoms, impacting prognosis.
- Enzyme replacement therapy offers a way to prevent life-threatening renal, cardiac, and neurological complications.
Impact:
- Emphasizes the critical need for timely diagnosis to initiate enzyme replacement therapy.
- Underscores the potential of ERT to mitigate severe health outcomes associated with Fabry disease.
- Informs ongoing clinical discussions on pediatric treatment strategies for Fabry disease.
Abstract:
Fabry disease is a lysosomal disease caused by the accumulation of glycosphingolipids, mainly the globotriaosylceromid (Gb3) in different body tissues, mostly the kidney, the heart and the brain. Occuring most frequently during childhood, the first signs of the disease (hypohidrosis, ocroporesthesia, GI tract signs, and ongiokeratoma) are often unrecognized and the diagnosis is delayed. Even though Fabry disease is on x-linked disorder, the carrier females can also be symptomatic, and can even present sometimes with a pattern similar to that of the males. The availability of enzyme replacement therapy, which can potentially prevent the occurrence of renal, cardiac and neurological life threatening manifestations, underlines the importance of having an early diagnosis. The indications to start enzyme replacement therapy in childhood are currently the subject of specialists discussion in France.
Related Concept Videos
Cystic Fibrosis: Pathogenesis
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation, but...
Inborn Errors of Metabolism
Sex-linked Disorders
Cystic Fibrosis: Management
Sinus disease and chronic sinusitis...
Lysosomal Hydrolases
Introduction to Fibroblasts

