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Fabry disease

What are the symptoms?

The classic form, occurring in males with very low levels α-Gal A activity, usually has its onset in childhood or adolescence with periodic crises of severe pain in the hands and feet (acroparesthesias), the appearance of a skin rash (angiokeratomas), reduced sweating, eye changes bowel disturbance and protein in the urine. Gradual deterioration of kidney function usually occurs in men. Males may also develop heart problems such as an enlarged heart and neurological problems including stroke. Males with a higher level of enzyme activity often present later in life with predominantly heart or kidney problems with few of the other symptoms.

Females typically have milder symptoms at a later age of onset than males. However this is very variable; they may be relatively asymptomatic throughout a normal life span or may have symptoms as severe as those observed in males.

View Background Background  |  How is it diagnosed? View How is it diagnosed?

Medical text written November 1991 by Contact a Family. Approved November 1991 by Professor M Patton, Professor of Medical Genetics, St Georges Hospital Medical School, London, UK and Dr J E Wraith, Consultant Paediatrician, Royal Manchester Children's Hospital, Manchester, UK. Last updated January 2008 by Dr Derralyn Hughes, Lecturer in Haematology, Royal Free and University College Medical School, London, UK.

 

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