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2015, Number 615

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Rev Med Cos Cen 2015; 72 (615)

Enfermedad de fabry y dolor neuropático

Esquivel ZR, Ramírez RAC
Full text How to cite this article

Language: Spanish
References: 13
Page: 243-248
PDF size: 71.99 Kb.


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ABSTRACT

Fabry disease is a hereditary chromosome X ligand disease that produces a lysosomal storage disorder because of a deficiency of α-galactosidase A enzyme causing a globotriaosylceramide (Gb3) accumulation. (2,4) One of the most affected organs is the nervous system, that usually begins with pain crisis and dysesthesia of upgoing evolution. The physiopathology of the neuropathic pain is not completely elucidated, it is believed, nevertheless, that it’s consequence of small fibers affection. (4) The problem is the sub-diagnosis because it is a rare disease and the pain is easily minimize, so all the pertinent studies are generally not requested. The diagnosis of Fabry disease is made in patients with typical symptoms and signs, in combination with decrease enzyme activity in the men, or positive for a mutation in the gen α-galactosidase A(4).


REFERENCES

  1. Biegstraaten M, Hollak C, Bakkers M, Faber C, Aerts J, Schaik. Small fiber neuropathy in fabry disease. Mol Genet Metab 2002; 76(1):23-30.

  2. Burlina A, Sims K, Politei J, y col. Early diagnosis of peripheral nervous system involvent in Fabry disease and treatment of neuropathic pain: the report of an expert panel. BMC Neuro 2011; 11: 1-11

  3. Demarin V, Basic V, Bitunjac M, Ivankovic M. Neurological Manifestation of Fabry Disease. Coll. Antropol 2009; 2177-179

  4. El Dib R, Nascimento P, Pastores G, Enzyme replacement therapy for Anderson-Fabry disease. Cochrane Database of Systematic Reviews 2013;2: 1-64

  5. Geevasinga N, Tchan M, Sillence D, Vucic, Upregulation of inward rectifying currents and Fabry neuropathy. Journal of the Peripheral Nervous System 2012; 17: 399-406

  6. Germain D, Fabry disease. Germain Orphanet Journal of Rare Disease 2010;5: 1-49

  7. Maag R, Binder A, Maier C, y col, Detection of a Characteristic Painful Neuropathy in Fabry Disease: A Pilot Study. Pain Med 2008; 9: 1217-1223

  8. MacDermot K, Holmes A, Miners A, Anderson-Fabry disease: clinical manifestations and impact of disease in a cohort of 98 hemizygous males. J Med Genet 2001; 38: 750-760

  9. Mehta A, West M, Pintos-Morell G y col, Therapeutic goals in the treatment of Fabry disease. Genet Med 2010; 12: 713-720.

  10. Mendióroz M, Fernandez-Cadenas I, Montaner J. Manifestaciones neurológicas de la enfermedad de Fabry. Rev Neurol 2006; 43: 739-745

  11. Rozenfeld P, Neuman P, Treatment of Fabry Disease: Current and Emerging Strategies. Current Pharmaceutical Biotechnology, 2011; 12: 916-922

  12. Torra R, Ortíz A, Fabry disease: the many faces of a single disorder. Clin Kindey J 2012; 5: 379-382.

  13. Vega O, Perez A, Correa R, La enfermedad de Fabry-Anderson: estado actual del conocimiento. Rev Inv Clin2011:3 314-321.




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Rev Med Cos Cen. 2015;72