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Fabry disease: raising awareness of the disease among physicians
Francesca Carubbi1, Lisa Bonilauri
1Department of Medicine, Endocrinology, Metabolism and Geriatrics, University of Modena and Reggio Emilia, NOSE U.O. Medicina ad indirizzo metabolico-nutrizionistico, Via Giardini 1355, 41126, Modena, MO, Italy. carubbi@unimore.it
Insights
Fabry disease is an X-linked inherited lysosomal disorder caused by alpha-galactosidase A deficiency. Early diagnosis and enzyme replacement therapy can manage symptoms and prevent severe complications.
Area of Science:
- Genetics and rare diseases
- Lysosomal storage disorders
- Metabolic diseases
Background:
- Fabry disease is an X-linked inherited lysosomal disorder.
- It results from deficient alpha-galactosidase A activity, leading to glycolipid accumulation.
- This accumulation affects multiple organ systems, including the kidneys, heart, and nervous system.
Purpose of the Study:
- To raise awareness of Fabry disease signs and symptoms.
- To summarize the effects of current treatments.
- To highlight the importance of early diagnosis and intervention.
Main Methods:
- This is a literature review and overview.
- Key findings from existing studies on Fabry disease were synthesized.
- Information on clinical manifestations and therapeutic approaches was compiled.
Main Results:
- Fabry disease presents with diverse symptoms like renal and cardiac issues, pain, and neurological complications.
- Both males and females can be severely affected, with potential premature death.
- Enzyme replacement therapy shows promise in stabilizing or slowing disease progression.
Conclusions:
- Increased knowledge of Fabry disease is crucial for timely diagnosis.
- Early therapeutic interventions, such as enzyme replacement therapy, can prevent severe disease progression and complications.
- Awareness of Fabry disease's signs and symptoms is vital for effective patient management.
Abstract:
Fabry disease is an X-linked inherited lysosomal disorder due to dysfunctions of the lysosomal enzyme alpha-galactosidase A, causing insufficient breakdown of glycolipids, which are stored in the eyes, kidneys, autonomic nervous system, skin, vessels and cardiovascular system. Manifestations of Fabry disease include progressive renal and cardiac insufficiency, neuropathic pain, stroke and cerebral disease, skin and gastrointestinal symptoms. Clinical onset usually occurs in childhood, but many severe patients are diagnosed in adulthood. Females may be severely affected as males and both may die prematurely due to stroke, heart disease and renal failure. Enzyme replacement therapy can stabilize or reduce the progression of the disease. There is a need to improve the knowledge of Fabry disease, as an early therapy may prevent complications of the disease. This brief overview aims to raise awareness of the signs and symptoms of Fabry disease and to summarize the effects of treatments.
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