A Fabry-kór X-kromoszómához kötött öröklődésmenetű, több szervet érintő, ritka, lysosomalis tárolási betegség, amelyet a GAL gén mutációja, az α-galaktozidáz A-enzim elégtelen működése okoz. Az enzimhiány következtében lipid lebontási termékek (glikoszfingolipidek) halmozódnak fel a kiserek endothel sejtjeiben, a simaizomsejtekben, a leukocytákban, és a fibroblastokban. A betegséget a bőrön, a szemben, az idegrendszerben, a vesében és a szívben sokszínű szervi eltérések jellemzik. A Fabry-kór leggyakoribb klinikai megjelenési formái az acroparesthesia, az angiokeratoma, a corneahomály, valamint különféle cardialis, renalis és cerebrovascularis megbetegedések. A 2003 óta Magyarországon is elérhető enzimpótló kezeléssel a betegség progressziója lassítható. A szerzők közleményükben 31 beteg férfi és hordozó nő klinikai adatait foglalják össze. A 31 főből 15 férfi, 16 nő, az elhunytak száma 5 fő (4 férfi, 1 nő). A nők egynegyede tünetmentes. A 7 gondozott család mindegyikében sikerült azonosítani a betegségokozó mutációt; 3 családban új mutáció igazolódott. Enzimpótló kezelésben 12 beteg részesül, közülük 8 férfi, 4 nő.
Oliveira, J. P. és mtsai: The Fabry Registry: Early renal failure in Fabry disease patients. EDTA Congress, Lisbon, 2004.
Oliveira J. P. , '', in The Fabry Registry: Early renal failure in Fabry disease patients , (2004 ) -.
Le Charpentier, Y., Crouzet, J., Le Charpentier, M. és mtsai: Fabry’s disease without cutaneous angiokeratoma: diagnosis by electron microscope study of skin biopsy. Arch. Anat. Cytol. Pathol., 1980, 28 , 119–123.
Charpentier M. , 'Fabry’s disease without cutaneous angiokeratoma: diagnosis by electron microscope study of skin biopsy ' (1980 ) 28 Arch. Anat. Cytol. Pathol. : 119 -123 .
Alroy, J., Sabnis, S., Kopp, B. J.: Renal pathology in Fabry disease. J. Am. Soc. Nephrol., 2002, 13 (suppl 2) , S134–138.
Kopp B. J. , 'Renal pathology in Fabry disease ' (2002 ) 13 (suppl 2) J. Am. Soc. Nephrol. : S134 -138 .
Fischer, E.: Fabry disease, a disease with rheumatic aspects: radiology of soft tissue and bone changes in the hand. Z. Rheumatol., 1986, 45 , 36–41.
Fischer E. , 'Fabry disease, a disease with rheumatic aspects: radiology of soft tissue and bone changes in the hand ' (1986 ) 45 Z. Rheumatol. : 36 -41 .
Klug, H., Zabel, R., Evers, U.: Fabry disease: clinical, biochemical and electron microscopical studies. Dermatol. Monatsschr., 1979, 165 , 46–54.
Evers U. , 'Fabry disease: clinical, biochemical and electron microscopical studies ' (1979 ) 165 Dermatol. Monatsschr. : 46 -54 .
Metha, A., Ricci, R., Widmer, U. és mtsai: Fabry disease defined: baseline clinical manifestations of 366 patients in the Fabry Outcome Survey. Eur. J. Clin. Invest., 2004, 34 , 236–242.
Widmer U. , 'Fabry disease defined: baseline clinical manifestations of 366 patients in the Fabry Outcome Survey ' (2004 ) 34 Eur. J. Clin. Invest. : 236 -242 .
Sachdev, B., Takenaka, T., Teraguchi, H. és mtsai: Prevalence of Anderson–Fabry disease in male patients with late onset hypertrophic cardiomyopathy. Circulation, 2002, 105 , 1407–1411.
Teraguchi H. , 'Prevalence of Anderson–Fabry disease in male patients with late onset hypertrophic cardiomyopathy ' (2002 ) 105 Circulation : 1407 -1411 .
Ries, M., Bettis, K. E. B., Choyke, P. és mtsai: Parapelvic kidney cysts: A distinguishing feature with high prevalence in Fabry disease. Kidney Int., 2004, 66 , 978–982.
Choyke P. , 'Parapelvic kidney cysts: A distinguishing feature with high prevalence in Fabry disease ' (2004 ) 66 Kidney Int. : 978 -982 .
Nakao, S., Kodama, C., Takenaka, T. és mtsai: Fabry disease: detection of undiagnosed hemodialysis patients and identification of a „renal variant” phenotype. Kidney Int., 2003, 64 , 801–807.
Takenaka T. , 'Fabry disease: detection of undiagnosed hemodialysis patients and identification of a „renal variant” phenotype ' (2003 ) 64 Kidney Int. : 801 -807 .
Desnick, R. J.: Enzyme replacement therapy for Fabry disease: lessons from two α-galactosidase A orphan products and one FDA approval. Expert Opin. Biol. Ther., 2004, 4 , 1167–1176.
Desnick R. J. , 'Enzyme replacement therapy for Fabry disease: lessons from two α-galactosidase A orphan products and one FDA approval ' (2004 ) 4 Expert Opin. Biol. Ther. : 1167 -1176 .
Hughes, D. A., Mehta, A. B.: Vascular complications of Fabry disease: enzyme replacement and other therapies. Acta Pediatrica, 2005, 94 (Suppl 447) , 28–33.
Mehta A. B. , 'Vascular complications of Fabry disease: enzyme replacement and other therapies ' (2005 ) 94 (Suppl 447) Acta Pediatrica : 28 -33 .
Lucke, T., Hoppner, W., Schmidt, E. és mtsai: Fabry disease: reduced activities of respiratory chain enzymes with decreased levels of energy-rich phosphates in fibroblasts. Mol. Genet. Metab., 2004, 82 , 93–97.
Schmidt E. , 'Fabry disease: reduced activities of respiratory chain enzymes with decreased levels of energy-rich phosphates in fibroblasts ' (2004 ) 82 Mol. Genet. Metab. : 93 -97 .
Shelley, E. D., Shelley, W. B., Kurczynski, T. W.: Painful fingers, heat intolerance, and teleangiectasies of the ear: easily ignored childhood signs of Fabry disease. Pediatric. Dermatol., 1995, 12 , 215–219.
Kurczynski T. W. , 'Painful fingers, heat intolerance, and teleangiectasies of the ear: easily ignored childhood signs of Fabry disease ' (1995 ) 12 Pediatric. Dermatol. : 215 -219 .
Mendez, M., Stanley, T. M., Medel, N. M.: The vascular dementia of Fabry’s disease. Dement. Geriatr. Cogn. Disord., 1997, 8 , 252–257.
Medel N. M. , 'The vascular dementia of Fabry’s disease ' (1997 ) 8 Dement. Geriatr. Cogn. Disord. : 252 -257 .
Magage, S., Lubanda, J. C., Germain, D. P. és mtsai: Respiratory involvement in patients with Fabry disease. Med. Sci., 2005, 21 , 37–39.
Germain D. P. , 'Respiratory involvement in patients with Fabry disease ' (2005 ) 21 Med. Sci. : 37 -39 .
Inderbitzin, D., Avital, I., Largiader, F. és mtsai: Kidney transplantation improves survival and is indicated in Fabry disease. Transplantation Proceedings, 2005, 37 , 4211–4214.
Largiader F. , 'Kidney transplantation improves survival and is indicated in Fabry disease ' (2005 ) 37 Transplantation Proceedings : 4211 -4214 .
Clarke, J. T., Knaack, J., Crawhall, J. C. és mtsa: Ceramide trihexosidosis (Fabry’s disease) without skin lesions. N. Engl. J. Med., 1971, 284 , 233–235.
Crawhall J. C. , 'Ceramide trihexosidosis (Fabry’s disease) without skin lesions ' (1971 ) 284 N. Engl. J. Med. : 233 -235 .
Elleder, M., Bradova, V., Smid, F. és mtsai: Cardiocyte storage and hypertrophy as a sole manifestation of Fabry’s disease: report on a case simulating hypertrophic non-obstructive cardiomyopathy. Virchows Arch. A. Pathol. Anat. Histopathol., 1990, 417 , 449–455.
Smid F. , 'Cardiocyte storage and hypertrophy as a sole manifestation of Fabry’s disease: report on a case simulating hypertrophic non-obstructive cardiomyopathy ' (1990 ) 417 Virchows Arch. A. Pathol. Anat. Histopathol. : 449 -455 .
Von Scheidt, W., Eng, C. M., Fitzmaurice, T. F. és mtsai: An atypical variant of Fabry’s disease with manifestations confined to the myocardium. N. Engl. J. Med., 1991, 324 , 395–399.
Fitzmaurice T. F. , 'An atypical variant of Fabry’s disease with manifestations confined to the myocardium ' (1991 ) 324 N. Engl. J. Med. : 395 -399 .
Nakao, S., Takenaka, T., Maeada, M. és mtsai: An atypical variant of Fabry’s disease in men with left ventricular hypertrophy. N. Engl. J. Med., 1995, 333 , 288–293.
Maeada M. , 'An atypical variant of Fabry’s disease in men with left ventricular hypertrophy ' (1995 ) 333 N. Engl. J. Med. : 288 -293 .
Desnick, R. J.: Fabry disease: unregonized ESRD patients and effectiveness of enzyme replacement on renal pathology and function. J. Inherit. Metab. Dis., 2002, 25 , 113.
Desnick R. J. , 'Fabry disease: unregonized ESRD patients and effectiveness of enzyme replacement on renal pathology and function ' (2002 ) 25 J. Inherit. Metab. Dis. : 113 -.
Kotanko, P., Kramar, R., Devrnja, D. és mtsai: Results of a nationwide screening for Anderson–Fabry disease among dialysis patients. J. Am. Soc. Nephrol., 2004, 15 , 1323–1329.
Devrnja D. , 'Results of a nationwide screening for Anderson–Fabry disease among dialysis patients ' (2004 ) 15 J. Am. Soc. Nephrol. : 1323 -1329 .
Spada, M., Marongiu, A., Voglino, G. és mtsai: Molecular study in 20 unrelated male patients with Fabry disease: the A143T genotype correlates with the late-onset end-stage nephropathy. J. Inherit. Metab. Dis., 2003, 26 , 171–180.
Voglino G. , 'Molecular study in 20 unrelated male patients with Fabry disease: the A143T genotype correlates with the late-onset end-stage nephropathy ' (2003 ) 26 J. Inherit. Metab. Dis. : 171 -180 .
Spada, M., Pagliardini, S.: Screening for Fabry disease in end-stage nephropathies. J. Inherit. Metab. Dis., 2002, 25 , S113.
Pagliardini S. , 'Screening for Fabry disease in end-stage nephropathies ' (2002 ) 25 J. Inherit. Metab. Dis. : S113 -.
Utsumi, K., Kase, R., Takata, T. és mtsai: Fabry disease in patients receiving maintenance dialysis. Clin. Exp. Nephrol., 2000, 4 , 49–51.
Takata T. , 'Fabry disease in patients receiving maintenance dialysis ' (2000 ) 4 Clin. Exp. Nephrol. : 49 -51 .
Rolfs, A., Bottcher, T., Zschiesche, M. és mtsai: Prevalence of Fabry disease in patients with cryptogenic stroke: a prospective study. Lancet, 2005, 366 , 1794–1796.
Zschiesche M. , 'Prevalence of Fabry disease in patients with cryptogenic stroke: a prospective study ' (2005 ) 366 Lancet : 1794 -1796 .
Hauser, A. C., Gessl, A., Lorenz, M. és mtsai: High prevalence of subclinical hypothyroidism in patients with Anderson–Fabry disease. J. Inherit. Metab. Dis., 2005, 28 , 715–722.
Lorenz M. , 'High prevalence of subclinical hypothyroidism in patients with Anderson–Fabry disease ' (2005 ) 28 J. Inherit. Metab. Dis. : 715 -722 .
Garzuly F., Maródi L., Erdős M. és mtsai: Megadolichobasilar anomaly with thrombosis in a family with Fabry’s disease and a novel mutation in the α-galactosidase A gene. Brain, 2005, 9 , 2078–2083.
Erdős M. , 'Megadolichobasilar anomaly with thrombosis in a family with Fabry’s disease and a novel mutation in the α-galactosidase A gene ' (2005 ) 9 Brain : 2078 -2083 .
Halsted, C. H., Rowe, J. W.: Occurence of celiac sprue in a patient with Fabry’s disease. Am. Intern. Med., 1975, 83 , 524–525.
Rowe J. W. , 'Occurence of celiac sprue in a patient with Fabry’s disease ' (1975 ) 83 Am. Intern. Med. : 524 -525 .
Kusama, M., Kimura, K., Koyanagi, Y. és mtsai: A case report of atypical Fabry’s disease with colon cancer. Nippon Geka Gakkai Zasshi, 1993, 94 , 755–757.
Koyanagi Y. , 'A case report of atypical Fabry’s disease with colon cancer ' (1993 ) 94 Nippon Geka Gakkai Zasshi : 755 -757 .
Elleder, M., Christomanou, H., Kustermann-Kuhn, B. és mtsa: Leptomeningeal lipid storage patterns in Fabry disease. Acta Neuropath., 1994, 88 , 579–582.
Kustermann-Kuhn B. , 'Leptomeningeal lipid storage patterns in Fabry disease ' (1994 ) 88 Acta Neuropath. : 579 -582 .
Fodor E., Kerkovits L., Farsang Cs. és mtsa.: Angiokeratoma corporis diffusum (Anderson–Fabry-betegség) okozta veseelégtelenség. Hypertonia és Nephrologia, 2000, 4 , 268–271.
Farsang Cs. , 'Angiokeratoma corporis diffusum (Anderson–Fabry-betegség) okozta veseelégtelenség ' (2000 ) 4 Hypertonia és Nephrologia : 268 -271 .
Blanco, J., Herrero, J., Arias, L. és mtsai: Renal variant of Anderson–Fabry disease and bilateral renal cell carcinoma. Pathol. Res. Pract., 2005, 200(11–12) , 857–860.
Arias L. , 'Renal variant of Anderson–Fabry disease and bilateral renal cell carcinoma ' (2005 ) 200 Pathol. Res. Pract. : 857 -860 .
Gordon, K. E., Ludman, M. D., Finley, G. A.: Successful treatment of painful crisis of Fabry disease with low dose morphine. Pediatric Neurology, 1995, 12 , 250–251.
Finley G. A. , 'Successful treatment of painful crisis of Fabry disease with low dose morphine ' (1995 ) 12 Pediatric Neurology : 250 -251 .
Senn, B., Capone, A., Spina, G. és mtsa: Morbus Fabry, ein ophtalmo-neuro-dermato-kardio-nephrologisches Problem. Klin. Monatsbl. Augenheilkd., 1995, 206 , 369–370.
Spina G. , 'Morbus Fabry, ein ophtalmo-neuro-dermato-kardio-nephrologisches Problem ' (1995 ) 206 Klin. Monatsbl. Augenheilkd. : 369 -370 .
Warren, J., Daly, P., Iwanochko, R. M. és mtsai: Cardiac transplantation for Fabry’s disease. Can. J. Cardiol., 1998, 14 , 81–84.
Iwanochko R. M. , 'Cardiac transplantation for Fabry’s disease ' (1998 ) 14 Can. J. Cardiol. : 81 -84 .
Frustaci, A., Chimenti, C., Ricci, R. és mtsai: Improvement in cardiac function in the cardiac variant of Fabry’s disease with galactose-infusion therapy. N. Engl. J. Med., 2001, 345 , 25–32.
Ricci R. , 'Improvement in cardiac function in the cardiac variant of Fabry’s disease with galactose-infusion therapy ' (2001 ) 345 N. Engl. J. Med. : 25 -32 .
Mignani, R., Cagnoli, L.: Enzyme replacement therapy in Fabry’s disease: Recent advances and clinical applications. J. Nephrol., 2004, 17 , 1–10.
Cagnoli L. , 'Enzyme replacement therapy in Fabry’s disease: Recent advances and clinical applications ' (2004 ) 17 J. Nephrol. : 1 -10 .
Bishop, D. F., Calhoun, D. H., Bernstein, H. S. és mtsai: Human α-galactosidase A: Nucleotide sequence of a cDNA clone encoding the mature enzyme. Proc. Natl. Acad. Sci., 1986, 83 , 4859–4863.
Bernstein H. S. , 'Human α-galactosidase A: Nucleotide sequence of a cDNA clone encoding the mature enzyme ' (1986 ) 83 Proc. Natl. Acad. Sci. : 4859 -4863 .
Scott, C., David, G., Garboczi, N.: The molecular defect leading to Fabry Disease: structure of human α-galactosidase. J. Mol. Biol., 2004, 337 , 319–335.
Garboczi N. , 'The molecular defect leading to Fabry Disease: structure of human α-galactosidase ' (2004 ) 337 J. Mol. Biol. : 319 -335 .
Desnick, R. J., Ioannou, Y. A., Eng, C. M.: α-Galactosidase A deficiency: Fabry disease. In: The metabolic and Molecular Bases of Inherited Disease, ed. by Seriver, C. R., Beaudet, A. L., Sly, W. S., Valle, D., New York, McGraw-Hill, 2001, 3733–3774.
Eng C. M. , '', in The metabolic and Molecular Bases of Inherited Disease , (2001 ) -.
Branton, M. H., Schiffmann, R., Sabnis, S. G. és mtsai: Quantitative natural history of Fabry renal disease: Influence of α-galactosidase A activity and genetic mutations on clinical course. Medicine, 2001, 81 , 122–138.
Sabnis S. G. , 'Quantitative natural history of Fabry renal disease: Influence of α-galactosidase A activity and genetic mutations on clinical course ' (2001 ) 81 Medicine : 122 -138 .
Mátyus J., Oláh A., Újhelyi L. és mtsai: A Magyar Nephrológiai Társaság és a Magyar Laboratóriumi Diagnosztikai Társaság javaslata a vesefunkció laboratóriumi vizsgálatával kapcsolatban. Nefrológiai útmutató, 2005.
Rákóczi É., Pfliegler Gy., Maródi L.: A diagnosztika útvesztői Fabry-kórban. Háziorvos Továbbképző Szemle, 2004, 9 , 147–149.
Maródi L. , 'A diagnosztika útvesztői Fabry-kórban ' (2004 ) 9 Háziorvos Továbbképző Szemle : 147 -149 .