Anderson-Fabry’s Disease: A Rare but Treatable Case of Fever of Unknown Origin

Autor: Francesca Graziani, Aureliano Ruggio, Antonio Iaconelli, Elena Verrecchia, Amelia Morrone, Daniela Antuzzi, Filippo Crea, Raffaele Manna
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: European Journal of Case Reports in Internal Medicine, Vol 4, Iss 7 (2017)
Druh dokumentu: article
ISSN: 2284-2594
DOI: 10.12890/2017_000645
Popis: Anderson-Fabry’s disease (AFD) is a rare, X-linked lysosomal storage disorder caused by the complete deficiency or attenuated activity of the enzyme α-galactosidase A, leading to progressive systemic intracellular accumulation of glycosphingolipids and subsequent cellular dysfunction, inflammation and fibrosis. Fever is a frequently misinterpreted symptom in the early stages of the disease, leading to diagnostic delay. We present the case of a 35-year-old man admitted to our Periodic Fever Research Centre for long-lasting recurrent episodes of fever of unknown origin. After extensive assessment, we diagnosed AFD associated with a novel GLA mutation. We started enzyme replacement therapy with clinical benefit and complete remission of fever.
Databáze: Directory of Open Access Journals