The management and treatment of children with Fabry disease

A United States-based perspective

Robert J. Hopkin, John Jefferies, Dawn A. Laney, Victoria H. Lawson, Michael Mauer, Matthew R. Taylor, William R. Wilcox

Research output: Contribution to journalReview article

25 Citations (Scopus)

Abstract

Fabry disease is an inherited X-linked disorder that presents during childhood in male and female patients. Young patients may initially experience pain, hypohidrosis, and gastrointestinal symptoms. Other manifestations of Fabry disease, such as renal and cardiac disease, manifest later in adolescence or adulthood. In the pediatric population, renal damage is typically subclinical and identifiable only through biopsy. Specialists from the United States with expertise in Fabry disease convened during 2013-2014 in order to develop these consensus guidelines about the management and treatment of children with Fabry disease. The presence of symptoms in boys and girls of any age is an indication to begin therapy. Early treatment before the onset of potentially irreversible vital organ pathology is ideal. Asymptomatic children with Fabry mutations should be followed closely for the development of renal, cardiac, neurological, or gastrointestinal signs, symptoms, or laboratory changes, which would warrant treatment initiation. A comprehensive care plan should be implemented by the treating physicians to guide the management of children with Fabry disease.

Original languageEnglish (US)
Pages (from-to)104-113
Number of pages10
JournalMolecular Genetics and Metabolism
Volume117
Issue number2
DOIs
StatePublished - Feb 1 2016
Externally publishedYes

Fingerprint

Fabry Disease
Kidney
Hypohidrosis
Therapeutics
Pediatrics
Biopsy
Signs and Symptoms
Pathology
Heart Diseases
Consensus
Guidelines
Physicians
Pain
Mutation
Population

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Biochemistry
  • Molecular Biology
  • Genetics
  • Endocrinology

Cite this

The management and treatment of children with Fabry disease : A United States-based perspective. / Hopkin, Robert J.; Jefferies, John; Laney, Dawn A.; Lawson, Victoria H.; Mauer, Michael; Taylor, Matthew R.; Wilcox, William R.

In: Molecular Genetics and Metabolism, Vol. 117, No. 2, 01.02.2016, p. 104-113.

Research output: Contribution to journalReview article

Hopkin, Robert J. ; Jefferies, John ; Laney, Dawn A. ; Lawson, Victoria H. ; Mauer, Michael ; Taylor, Matthew R. ; Wilcox, William R. / The management and treatment of children with Fabry disease : A United States-based perspective. In: Molecular Genetics and Metabolism. 2016 ; Vol. 117, No. 2. pp. 104-113.
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