法布瑞氏症

法布瑞氏症英語:,,或),或法布雷病,一種X染色體基因異常導致的X-连锁隐性遗传疾病。因體內負責製造α-galactosidase(a-GAL)酵素的基因缺陷,造成體內醣神經胺醇脂質(glycosphingolipid)無法代謝,不斷堆積在細胞質溶體中,而引發多處器官病變,嚴重時可能造成死亡。它的命名來自於它的發現者之一,喬納斯·法布瑞(Johannes Fabry)。

法布瑞氏症
阿加糖酶β - 這種蛋白質在法布瑞氏症患者身上產生異常
症状疼痛限制型心肌病[*]高血壓腎功能衰竭angiokeratoma[*]無汗症[*]cornea verticillata[*]神經病恶心疲倦vertigochronic neuropathic pain[*]
类型sphingolipidosis[*]developmental anomaly of metabolic origin[*]genetic skin vascular disorder[*]rare genetic epilepsy[*]syndromic dyslipidemia[*]vascular skin disease[*]肥厚性梗阻型心肌病[*]sphingolipidosis with epilepsy[*]syndromic lymphedema[*]nephropathy secondary to a storage or other metabolic disease[*]cataract associated with a metabolic disease[*]metabolic disease with corneal opacity[*]lysosomal disease with restrictive cardiomyopathy[*]lysosomal disease with hypertrophic cardiomyopathy[*]rare hereditary metabolic disease with peripheral neuropathy[*]syndrome associated with hypertrophic cardiomyopathy[*]疾病
治療酵素替代療法[*]
分类和外部资源
醫學專科內分泌學、​腎臟科、​皮肤病学、​心臟內科
ICD-115C56.01
OMIM301500
DiseasesDB4638
eMedicine951451
Orphanet324

症狀

此病的臨床症狀多變。患者在兒童或青年期,手腳末端會產生間歇性的疼痛或感覺異常,有些患者形容如火燒般劇痛,在高溫、季節變化、及運動後容易產生。經常被誤診為風濕病關節炎關節痛生長痛或是心因性疼痛

治療方式

目前採取酵素替代療法,讓患者兩週一次,注射α-galactosidase(a-GAL)酵素藥劑,可以有效緩解病情。

參考文獻

  • James, William D.; Elston, Dirk; Berger, Timothy; Neuhaus, Isaac. . Elsevier Health Sciences. 2015-04-12. ISBN 978-0-323-31969-0 (英语).
  • Schiffmann, Raphael; Kopp, Jeffrey B.; Austin III, Howard A.; Sabnis, Sharda; Moore, David F.; Weibel, Thais; Balow, James E.; Brady, Roscoe O. . JAMA. 2001-06-06, 285 (21): 2743–2749 [2022-11-18]. ISSN 0098-7484. PMID 11386930. doi:10.1001/jama.285.21.2743. (原始内容存档于2020-08-12) (英语).
  • Wilcox, William R.; Banikazemi, Maryam; Guffon, Nathalie; Waldek, Stephen; Lee, Philip; Linthorst, Gabor E.; Desnick, Robert J.; Germain, Dominique P.; Group, for the International Fabry Disease Study. . The American Journal of Human Genetics. 2004-07-01, 75 (1): 65–74 [2022-11-15]. ISSN 0002-9297. PMC 1182009可免费查阅. PMID 15154115. doi:10.1086/422366. (原始内容存档于2013-05-15) (英语).

外部連結

Support groups
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