Fabry disease with few clinical signs and symptoms

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Abstract

We describe a 25-year-old man with Fabry disease who remained undiagnosed until progressive renal involvement had begun, because of few clinical signs or symptoms except intermittent acroparesthesia. He had non-nephrotic proteinuria and normal renal function. Renal biopsy revealed focal and segmental glomerular sclerosis with vacuolated podocytes. Electron microscopy demonstrated characteristic lamellated bodies. α-Galactosidase A (α-galA) activity was markedly decreased. Early diagnosis of Fabry disease is becoming important because of the prospect of recombinant α-galA replacement therapy. Careful history taking, physical examinations, and renal histology with electron microscopy are essential for the diagnosis in the course of the disease.

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Asahi, K., Katoh, T., Watanabe, K., & Watanabe, T. (2002). Fabry disease with few clinical signs and symptoms. Internal Medicine, 41(11), 983–985. https://doi.org/10.2169/internalmedicine.41.983

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