[Fabry disease]

Paula Boggio1, Paula Carolina Luna, María Eugenia Abad

  • 1Departamento de Dermatologia, Hospital General de Agudos J.M. Ramos Mejía, Buenos Aires, Argentina. paulaboggio@fibertel.com.ar

Insights

Fabry disease, an X-linked disorder, results from a-galactosidase A deficiency, causing globotriaosylceramide buildup. Early signs like angiokeratomas and hypohidrosis are crucial for diagnosis and multidisciplinary care.

Area of Science:

  • Genetics and rare diseases
  • Biochemistry and metabolic disorders
  • Vascular and organ pathology

Context:

  • Fabry disease is an uncommon X-linked lysosomal storage disorder.
  • It stems from a partial or complete deficiency of the enzyme a-galactosidase A.
  • This deficiency leads to the accumulation of uncleaved globotriaosylceramide.

Purpose:

  • To review the literature on Fabry disease.
  • To highlight key diagnostic signs for early recognition.
  • To emphasize the importance of multidisciplinary assessment.

Summary:

  • The accumulation of globotriaosylceramide primarily affects vascular endothelium and visceral tissues, including skin, heart, kidneys, and the central nervous system.
  • Early identification of angiokeratomas and hypohidrosis are critical diagnostic indicators.
  • A comprehensive, multidisciplinary approach is essential for managing patients with Fabry disease.

Impact:

  • Facilitates earlier diagnosis and intervention for Fabry disease.
  • Improves patient outcomes through timely and coordinated care.
  • Enhances understanding of the clinical manifestations and diagnostic challenges.

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