Min Hye Chang, Hyun Hee Choi, Eun Joo Choi, Pyung-Bok Lee
언어
한국어(KOR)
URL
https://www.earticle.net/Article/A480206
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초록
영어
Fabry disease is an X-linked recessive disorder of glycosphingolipid metabolism resulting from the deficient activity of the lysosomal enzyme, α-galactosidase A. It leads to the systemic accumulation of glycosphingolipids including globotriaosylceramide (GL3) in the plasma and tissue lysosomes. Classically affected hemizygous males, with no residual α-galactosidase Aactivity may display all the characteristic sign, including neurological (pain), cutaneous (angiokeratoma), renal (proteinuria, kidney failure), cardiovascular (cardiomyopathy, arrhythmia), cochleo-vestibular and cerebrovascular (transient ischemic attacks, strokes) features of the disease. While, heterozygous females have symptoms ranging from very mild to severe. Thus, it is not easy to diagnose Fabry disease in female patients, because of the variable clinical features. This case is a patient who was considered to have an ordinary fibromyalgia but was found to have a Fabry disease by detailed history taking and examination. We herein report a case of chronic somatic pain due to Fabry disease without other systematic manifestations.
Min Hye Chang [ 장민혜 | Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. ]
Hyun Hee Choi [ 조현희 | Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. ]
Eun Joo Choi [ 최은주 | Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea./Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea, Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. ]
Pyung-Bok Lee [ 이평복 | Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea./Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea, Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. ]
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