title: Neurological manifestation of Fabry disease--a case report.
abstract: Fabry disease is an X-linked recessive glycolipid storage disease. It is caused by deficiency of the lysosomal enzyme alpha-galactosidase A and leads to the accumulation of the enzyme substrate, globotriasylceramide (Gb3) in many tissues including endothelial cells, pericytes and smooth muscle cells of blood vessels, renal epithelial cells, cardiac myocytes and numerous neuronal cells. In this report, we present 20-year-old male patient with ischemic stroke in pons. The case had previously been misdiagnosed as polimyositis and vasculitis. Angiokeratomas, neuropathic pain and ischemic stroke in young age suggested a Fabry disease. The diagnosis was confirmed biochemically and genetically. All young adults with stroke, especially if they have additional symptoms like angiokeratomas, proteinuria, neuropathic pain in toes and fingers should be tested for Fabry disease.
authors.affiliation: Department of Neurology, University Hospital 'Sestre milosrdnice", Zagreb, Croatia.
authors.forename: Vida
authors.initials: V
authors.lastname: Demarin
authors.forename: Vanja Basić
authors.initials: VB
authors.lastname: Kes
authors.forename: Milan
authors.initials: M
authors.lastname: Bitunjac
authors.forename: Mira
authors.initials: M
authors.lastname: Ivanković
mesh_terms: D000328:Adult; D017523:Croatia; D003951:Diagnostic Errors; D004172:Diplopia / Q000209:etiology; D000795:Fabry Disease / Q000150:complications / Q000235:genetics / Q000473:pathology*; D006801:Humans; D008297:Male; D009437:Neuralgia / Q000209:etiology; D010375:Pedigree; D017285:Polymyositis / Q000175:diagnosis; D011149:Pons / Q000473:pathology*; D011928:Raynaud Disease / Q000175:diagnosis; D020521:Stroke / Q000209:etiology* / Q000473:pathology; D014657:Vasculitis / Q000175:diagnosis; D014717:Vertigo / Q000209:etiology