2011, Número 3
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Rev Invest Clin 2011; 63 (3)
La enfermedad de Fabry-Anderson: estado actual del conocimiento
Vega-Vega O, Pérez-GutiérreAz, Correa-Rotter R
Idioma: Español
Referencias bibliográficas: 59
Paginas: 314-321
Archivo PDF: 143.32 Kb.
RESUMEN
La enfermedad de Fabry-Anderson es una patología lisosomal
de depósito, secundaria a la deficiencia de la enzima |α-galactosidasa.
Este defecto enzimático ocasiona la acumulación progresiva
de glucoesfingolípidos en el interior de diversos tipos
celulares. Generalmente, la deficiencia enzimática es completa,
lo que ocasiona participación multisistémica, con afección predominante
en corazón, riñón, sistema nervioso central y periférico.
Sin embargo, en algunos pacientes la deficiencia
enzimática puede ser parcial, lo cual se traduce en variantes
de la expresión clínica (variante renal y/o cardiaca), lo cual
contribuye a la dificultad en su diagnóstico y al desconocimiento
de su epidemiología. En el presente artículo se hace
una revisión de su epidemiología, el defecto metabólico de la
enfermedad, las bases moleculares y de herencia; las variantes
de la expresión clínica y la terapia de reemplazo enzimático.
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