2015, Number 615
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Rev Med Cos Cen 2015; 72 (615)
Enfermedad de fabry y dolor neuropático
Esquivel ZR, Ramírez RAC
Language: Spanish
References: 13
Page: 243-248
PDF size: 71.99 Kb.
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).
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