title: A case of Fabry's disease with congenital agammaglobulinemia.
abstract: Fabry's disease is an X-linked lysosomal storage disorder caused by abnormalities in the α-galactosidase A (GLA) gene, which leads to a GLA deficiency and to the intracellular deposition of globotriaosylceramide (Gb3) within vascular endothelium and other tissues. It manifests as progressive multiple organ dysfunctions caused by the deposition of Gb3. On the other hand, congenital agammaglobulinemia is usually caused by mutations in Bruton's tyrosine kinase (Btk) gene with X-linked dominence, suppresses B cell maturation, and causes recurrent pyogenic infections. In former reports, the distance between the loci in the Xq22 region of the human X chromosome was found to be about 69 kilobases. A 23-yr-old man diagnosed with congenital agammaglobulinemia at age 5, showed typical clinical and laboratory and histopathological findings of Fabry's disease. The genetic basis of this combination of the two syndromes was studied in this patient. Here, we report a case of Fabry's disease with congenital agammaglobulinemia.
authors: Department of Dermatology, Dong-A University College of Medicine, Busan, Korea.
authors: Ki-Yeol
authors: KY
authors: Lee
authors: Su-Young
authors: SY
authors: Jeon
authors: Jin-Woo
authors: JW
authors: Hong
authors: Sung-Eun
authors: SE
authors: Kim
authors: Ki-Hoon
authors: KH
authors: Song
authors: Young-Hun
authors: YH
authors: Kim
authors: Ki-Ho
authors: KH
authors: Kim
mesh_terms: D000328:Adult; D000361:Agammaglobulinemia / Q000151:congenital / Q000235:genetics* / Q000473:pathology; D041321:Chromosomes, Human, X; D000795:Fabry Disease / Q000175:diagnosis / Q000235:genetics*; D006801:Humans; D007668:Kidney / Q000473:pathology; D008297:Male; D008854:Microscopy, Electron; D017422:Sequence Analysis, DNA; D012867:Skin / Q000473:pathology; D000519:alpha-Galactosidase / Q000235:genetics / Q000378:metabolism
chemical_list: D000519:alpha-Galactosidase