基础医学与临床 ›› 2015, Vol. 35 ›› Issue (1): 90-94.

• 临床园地 • 上一篇    下一篇

12例Fabry病患者临床及病理分析

马杰1,田建军2,文煜冰3,秦岩1,陈丽萌4,叶文玲3,李雪梅3   

  1. 1. 中国医学科学院北京协和医学院北京协和医院
    2. 甘肃省庆阳市人民医院
    3. 中国医学科学院 北京协和医学院 北京协和医院
    4. 北京协和医院
  • 收稿日期:2014-06-12 修回日期:2014-07-18 出版日期:2015-01-05 发布日期:2014-12-30
  • 通讯作者: 李雪梅 E-mail:0605mei@gmail.com
  • 基金资助:
    国家科技支撑计划;国家科技支撑计划;首都卫生发展科研专项项目

Analysis of clinical and pathological features of 12 cases with Fabry Disease

  • Received:2014-06-12 Revised:2014-07-18 Online:2015-01-05 Published:2014-12-30
  • Contact: Xue-mei LI E-mail:0605mei@gmail.com

摘要: 目的 研究Fabry病临床病理表现及预后。方法 选取2004年至2014年北京协和医院住院的12例Fabry病患者为研究对象,回顾分析患者的临床病理资料和病情转归。结果 12例患者中男性10例,女性2例,出现临床症状的中位年龄10岁。主要临床表现:为肢端疼痛(10/12)、皮肤血管角质瘤(9/12)、肾脏受累(7/12)、听力下降(6/12)、无汗(5/12)、心肌病变(5/12)、脑梗死(3/12)、角膜混浊(3/12)等。所有患者血α-半乳糖苷酶A活性明显低于正常,中位数0.4(0-10.25)nmol /h?mgPr。4例肾脏损害患者接受了肾脏活检,均为典型的Fabry病肾损害特点,电镜检查对诊断该病有重要意义。7名患者有家族史。所有患者仅给予了对症支持治疗。5例患者接受随诊,4例患者病情基本稳定,1例患者在随诊第3年进入终末期肾病。结论 Fabry病临床表现多样,发病年龄早,多系统受累,男性患者病情更为严重。

关键词: Fabry病, 系统损害, 肾脏损害, 治疗

Abstract: Objective To investigate the clinical and pathological features of Fabry disease in Chinese patients.Methods This retrospective study included all in-patients Fabry disease patients at PUMC Hospital from 2004 to 2014.Results The 12 patients included 10 males and 2 females.The middle age at onset was 10. The most frequent symptoms in our group were pain attacks( 10/12), angiokeratoma( 9/12), renal abnormalities ( 7/12), hearing loss ( 6/12), hypohidrosis ( 5/12), cardiac abnormalities ( 5/12), cerebrovascular abnormalities ( 3/12), ophthalmological abnormalities ( 3/12).The severity of clinical manifestations was higher in males. Electron microscopy plays a very important role in pathological diagnosis of Fabry disease.7 patients suspected to have family history. 5 patients were examined regularly, 4 cases were stable , and 1 patient started hemodialysis after 3 years’ follow-up. Conclusion Onset of Fabry disease is early, many organs could be involved and patients present with different clinical manifestations. There are great differences in clinical features between male and female patients.

Key words: Fabry disease, multiple organs involvement, renal impairment, treatment

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