Prevalence of Fabry's disease within hemodialysis patients in Spain

Clinical Nephrology
Julio Herrera, Clara Sa Miranda

Abstract

To identify patients with Fabry's disease (FD) within patients with kidney dysfunction, submitted to hemodialysis. Patients under hemodialysis were screened using a combined enzymatic α-Gal A assay and dried blood spot samples to determine GLA genotype. A total of 3,650 samples (18.5% of all patients under hemodialysis in Spain) were tested and 11 new unrelated FD patients (4 males and 7 females) were diagnosed. 66 relatives of 11 patients were tested and 23 new FD patients were identified. This study allowed the diagnosis of 34 FD patients. Among the 11 unrelated FD patients, 5 presented the same R118C mutation and one novel mutation was detected: D109G. This study reveals the need for screening for FD in all patients under hemodialysis for unknown causes and indicates that the incidence and prevalence of FD are underestimated so far.

Citations

Dec 4, 2016·Medicina clínica·Alberto Ortiz, Maria Dolores Sanchez-Niño
Sep 16, 2020·Jornal brasileiro de nefrologia : ʹorgão oficial de Sociedades Brasileira e Latino-Americana de Nefrologia·Luciana Senra de Souza SodréNatália Maria da Silva Fernandes
May 10, 2016·The American Journal of Case Reports·Ruya Ozelsancak, Bulent Uyar
Feb 26, 2019·Journal of Korean Medical Science·Woo-Shik KimChuwa Tei
Jul 2, 2020·Therapeutics and Clinical Risk Management·Irfan VardarliFrank Weidemann
Oct 6, 2020·Case Reports in Nephrology·Amaresh R VangaThomas R McCune
Jul 21, 2021·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Akiko NagataKei Fukami

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