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  NINDS Fabry's Disease Information Page
  
Reviewed  7-30-2004  

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Table of Contents (click to jump to sections)

What is Fabry's Disease?
Is there any treatment?
What is the prognosis?
What research is being done?

Organizations

What is Fabry's Disease?
Fabry disease is a lipid storage disorder caused by the deficiency of an enzyme involved in the biodegradation of fats. The enzyme is known as ceramidetrihexosidase, also called alpha-galactosidase A. A mutation in the gene that controls this enzyme causes insufficient breakdown of lipids, which then build up in the body and cause a number of symptoms. The gene that is altered in this disorder is on the X-chromosome. If a woman has the mutated gene, her sons have a 50 percent chance of having the condition, and her daughters have a 50 percent chance of being a carrier. Symptoms of the disorder include burning sensations in the hands and feet that get worse with exercise and hot weather, and small, raised, reddish-purple blemishes on the skin. Some boys will also have eye manifestations, especially cloudiness of the cornea. As they grow older, they may have impaired arterial circulation leading to early heart attacks and strokes. The kidneys may become progressively involved, and require kidney transplantation or dialysis. A number of individuals have gastrointestinal difficulties characterized by frequent bowel movements shortly after eating. Some female carriers may also exhibit symptoms of the disorder.

Is there any treatment?
The pain in the hands and feet usually responds to medications such as Tegretol (carbamazepine) and dilantin. Gastrointestinal hyperactivity may be treated with metoclopramide or Lipisorb® (a nutritional supplement). Recent experiments indicate that enzyme replacement is effective therapy for patients with this disorder.

What is the prognosis?
Patients with Fabry disease usually survive into adulthood, but they are at risk for strokes, heart attacks, and kidney damage. It is anticipated that enzyme replacement and eventually gene therapy will eliminate these difficulties.

What research is being done?
NINDS supports research to find ways to treat and prevent lipid storage disorders such as Fabry disease.

Select this link to view a list of all studies currently seeking patients.

 Organizations

Fabry Support & Information Group
108 NE 2nd Street, Ste. C
P.O. Box 510
Concordia, MO 64020-0510
info@fabry.org
http://www.fabry.org
Tel: 660-463-1355
Fax: 660-463-1356

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
National Institutes of Health, DHHS
31 Center Drive, Rm. 9A06 MSC 2560
Bethesda, MD 20892-2560
http://www.niddk.nih.gov
Tel: 301-496-3583

National Tay-Sachs and Allied Diseases Association
2001 Beacon Street
Suite 204
Brighton, MA 02135
info@ntsad.org
http://www.ntsad.org
Tel: 617-277-4463 800-90-NTSAD (906-8723)
Fax: 617-277-0134

National Organization for Rare Disorders (NORD)
P.O. Box 1968
(55 Kenosia Avenue)
Danbury, CT 06813-1968
orphan@rarediseases.org
http://www.rarediseases.org
Tel: 203-744-0100 Voice Mail 800-999-NORD (6673)
Fax: 203-798-2291


NINDS health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the National Institute of Neurological Disorders and Stroke or any other Federal agency. Advice on the treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient's medical history.

All NINDS-prepared information is in the public domain and may be freely copied. Credit to the NINDS or the NIH is appreciated.


Provided by:
The National Institute of Neurological Disorders and Stroke
National Institutes of Health
Bethesda, MD 20892




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