The heart and Fabry-Anderson’s disease
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spmi.pt/index.php/rpmi/article/view/1833 |
Resumo: | Fabry-Anderson’s disease is a progressive X-linked recessive disorder. It is included in the group of at least 41 unique genetic lysosomal storage diseases.It is caused by a deficiency of alpha-galactosidase A, which leads to an accumulation of neutral glycosphingolipids in most visceral tissues and fluids of the body which results in several clinical manifestations.Fabry-Anderson’s disease is characterized by acroparaesthesias, cutaneous angiokeratomas, hypohidrosis, corneal opacities, and cardiovascular, gastrointestinal, and central nervous systems disturbances. Deposition of neutral glycosphingolipids in cardiac cells implies varied disturbances, with several symptoms, depending on patient’s sex and age.Some individuals develop a cardiac variant of Fabry-Anderson’s disease. About 3 to 6% of asymptomatic men, with left ventricular hypertrophy, have the variant condition. Left ventricular hypertrophy can be used as a marker of disease severity. It is thought that 4 to 8% of patients with hypertrophic non-obstructive cardiomyopathy, considered as idiopathic, have Fabry-Anderson’s disease. This disease ought to be considered and investigated (through biochemical study or an endomyocardial-biopsy specimen) as a possible cause of a cardiomyopathy.Fabry-Anderson’s disease has a high morbidity and death occurs in early adulthood, by the fourth or fifth decades of life, due to vascular disease of the kidney, heart or brain. |
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The heart and Fabry-Anderson’s diseaseO coração e a doença de Fabry-AndersonFabryAndersonlisossomasarmazenamentoalfa-galactosidase Aangioqueratomasacroparestesiasvariante cardíacaenzima de substituiçãoFabryAndersonLysosomalStorageAlpha-Galactosidase AAngiokeratomasAcroparaesthesiasCardiac VariantEnzyme ReplacementFabry-Anderson’s disease is a progressive X-linked recessive disorder. It is included in the group of at least 41 unique genetic lysosomal storage diseases.It is caused by a deficiency of alpha-galactosidase A, which leads to an accumulation of neutral glycosphingolipids in most visceral tissues and fluids of the body which results in several clinical manifestations.Fabry-Anderson’s disease is characterized by acroparaesthesias, cutaneous angiokeratomas, hypohidrosis, corneal opacities, and cardiovascular, gastrointestinal, and central nervous systems disturbances. Deposition of neutral glycosphingolipids in cardiac cells implies varied disturbances, with several symptoms, depending on patient’s sex and age.Some individuals develop a cardiac variant of Fabry-Anderson’s disease. About 3 to 6% of asymptomatic men, with left ventricular hypertrophy, have the variant condition. Left ventricular hypertrophy can be used as a marker of disease severity. It is thought that 4 to 8% of patients with hypertrophic non-obstructive cardiomyopathy, considered as idiopathic, have Fabry-Anderson’s disease. This disease ought to be considered and investigated (through biochemical study or an endomyocardial-biopsy specimen) as a possible cause of a cardiomyopathy.Fabry-Anderson’s disease has a high morbidity and death occurs in early adulthood, by the fourth or fifth decades of life, due to vascular disease of the kidney, heart or brain.A doença de Fabry-Anderson é uma doença progressiva, de natureza recessiva ligada ao cromossoma X. Faz parte do grupo das 41 doenças genéticas de armazenamento lisossómico. É causada por uma deficiência de alfa-galactosidase A, o que conduz a uma acumulação de glico-esfingolípidos em vários tecidos e fluidos corporais. Tal facto implica uma série de manifestações clínicas. A doença de Fabry-Anderson é caracterizada por acroparestesias, angioqueratomas cutâneos, hipoidrose, opacidades da córnea, insuficiência renal, e alterações nos sistemas nervoso central, cardiovascular e gastro-intestinal.O depósito de glico-esfingolípidos a nível das células cardíacas leva a várias alterações, que explicam diversos sintomas, cuja expressão depende do sexo e da idade.Alguns indivíduos desenvolvem uma variante da doença com expressão cardíaca. Cerca de 3 a 6% de homens assintomáticos, com hipertrofia ventricular esquerda, têm esta variante da doença. A presença de hipertrofia ventricular esquerda pode servir como marcador de gravidade da doença. Estima-se que 4 a 8% de pacientes com uma cardiomiopatia hipertrófica não obstrutiva, considerada idiopática, têm a doença de Fabry-Anderson. Esta doença deverá ser considerada e deverá ser investigada por bioquímica ou biopsia endomiocárdica, no esclarecimento de uma cardiomiopatia sem etiologia identificada.A doença de Fabry-Anderson tem uma elevada morbilidade. A morte ocorre precocemente (pela quarta ou quinta décadas de vida) devido a doença vascular renal, cardíaca ou cerebral.Sociedade Portuguesa de Medicina Interna2003-12-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/1833Internal Medicine; Vol. 10 No. 4 (2003): Outubro/ Dezembro; 209-214Medicina Interna; Vol. 10 N.º 4 (2003): Outubro/ Dezembro; 209-2142183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/1833https://revista.spmi.pt/index.php/rpmi/article/view/1833/1279Reis Pina, Pauloinfo:eu-repo/semantics/openAccess2023-05-27T06:10:48Zoai:oai.revista.spmi.pt:article/1833Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:56:22.829389Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The heart and Fabry-Anderson’s disease O coração e a doença de Fabry-Anderson |
title |
The heart and Fabry-Anderson’s disease |
spellingShingle |
The heart and Fabry-Anderson’s disease Reis Pina, Paulo Fabry Anderson lisossomas armazenamento alfa-galactosidase A angioqueratomas acroparestesias variante cardíaca enzima de substituição Fabry Anderson Lysosomal Storage Alpha-Galactosidase A Angiokeratomas Acroparaesthesias Cardiac Variant Enzyme Replacement |
title_short |
The heart and Fabry-Anderson’s disease |
title_full |
The heart and Fabry-Anderson’s disease |
title_fullStr |
The heart and Fabry-Anderson’s disease |
title_full_unstemmed |
The heart and Fabry-Anderson’s disease |
title_sort |
The heart and Fabry-Anderson’s disease |
author |
Reis Pina, Paulo |
author_facet |
Reis Pina, Paulo |
author_role |
author |
dc.contributor.author.fl_str_mv |
Reis Pina, Paulo |
dc.subject.por.fl_str_mv |
Fabry Anderson lisossomas armazenamento alfa-galactosidase A angioqueratomas acroparestesias variante cardíaca enzima de substituição Fabry Anderson Lysosomal Storage Alpha-Galactosidase A Angiokeratomas Acroparaesthesias Cardiac Variant Enzyme Replacement |
topic |
Fabry Anderson lisossomas armazenamento alfa-galactosidase A angioqueratomas acroparestesias variante cardíaca enzima de substituição Fabry Anderson Lysosomal Storage Alpha-Galactosidase A Angiokeratomas Acroparaesthesias Cardiac Variant Enzyme Replacement |
description |
Fabry-Anderson’s disease is a progressive X-linked recessive disorder. It is included in the group of at least 41 unique genetic lysosomal storage diseases.It is caused by a deficiency of alpha-galactosidase A, which leads to an accumulation of neutral glycosphingolipids in most visceral tissues and fluids of the body which results in several clinical manifestations.Fabry-Anderson’s disease is characterized by acroparaesthesias, cutaneous angiokeratomas, hypohidrosis, corneal opacities, and cardiovascular, gastrointestinal, and central nervous systems disturbances. Deposition of neutral glycosphingolipids in cardiac cells implies varied disturbances, with several symptoms, depending on patient’s sex and age.Some individuals develop a cardiac variant of Fabry-Anderson’s disease. About 3 to 6% of asymptomatic men, with left ventricular hypertrophy, have the variant condition. Left ventricular hypertrophy can be used as a marker of disease severity. It is thought that 4 to 8% of patients with hypertrophic non-obstructive cardiomyopathy, considered as idiopathic, have Fabry-Anderson’s disease. This disease ought to be considered and investigated (through biochemical study or an endomyocardial-biopsy specimen) as a possible cause of a cardiomyopathy.Fabry-Anderson’s disease has a high morbidity and death occurs in early adulthood, by the fourth or fifth decades of life, due to vascular disease of the kidney, heart or brain. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-12-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/1833 |
url |
https://revista.spmi.pt/index.php/rpmi/article/view/1833 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/1833 https://revista.spmi.pt/index.php/rpmi/article/view/1833/1279 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Internal Medicine; Vol. 10 No. 4 (2003): Outubro/ Dezembro; 209-214 Medicina Interna; Vol. 10 N.º 4 (2003): Outubro/ Dezembro; 209-214 2183-9980 0872-671X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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