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Fabry disease: impaired autonomic function.

W J Cable, E H Kolodny, R D Adams

    Neurology
    |May 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Fabry disease causes autonomic nervous system dysfunction, impacting sweating, pupil response, and digestion. These symptoms correlate with lipid buildup in autonomic neurons, affecting nerve function.

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    Area of Science:

    • Neurology
    • Genetics
    • Metabolic Disorders

    Background:

    • Fabry disease is a rare genetic disorder characterized by lipid accumulation.
    • Lipid deposition in autonomic neurons is suspected to cause various symptoms.
    • Autonomic dysfunction is a recognized but not fully understood aspect of Fabry disease.

    Purpose of the Study:

    • To investigate autonomic function in patients with Fabry disease.
    • To correlate clinical findings with known neuropathologic changes.
    • To assess specific autonomic functions including sweating, pupillary response, and gastrointestinal motility.

    Main Methods:

    • Noninvasive clinical tests were administered to 10 patients diagnosed with Fabry disease.
    • Evaluated functions included sweating, pupillary constriction response to pilocarpine, saliva and tear production, intestinal motility, and cutaneous flare response.

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  • Histamine and scratch tests were used to assess skin responses.
  • Main Results:

    • All patients exhibited diminished sweating, suggesting sweat gland dysfunction.
    • Half of the patients showed impaired pupillary constriction, reduced saliva, and tear formation.
    • Older patients displayed disordered intestinal motility, and all patients had diminished cutaneous flare response to stimuli.

    Conclusions:

    • Autonomic dysfunction is a significant clinical feature of Fabry disease.
    • The observed symptoms correlate with lipid deposition in autonomic neurons.
    • Fabry disease affects multiple autonomic functions, contributing to patient symptomatology.