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Anderson-Fabry Case Studies

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A five year old male child was admitted to the ER on complaints of burning sensations in his hands. Further examination on the child discovered that he had many inflamed spots (angiokeratomas) on his upper legs. The child’s paternal grandparents including his father are all normal. The child’s maternal grandfather had angiokeratomas and died at the age of 45 due to kidney and heart disease, while his maternal grandmother was normal. The five year old’s mother had some angiokeratomas. The patient is diagnosed with the rare life limiting Fabry disease also referred to as Anderson-Fabry disease.
Anderson-Fabry is an X linked genetic disease. It is a lysosomal storage disorder that is passed through genes and must be inherited as it runs in relatives (Burlina). Since males only have one X chromosomes, the symptoms may be more severe than a female relative who have two duplicates of the X chromosomes resulting …show more content…

The gene is sex linked taking place on the X chromosome (Rota). Males who have a mutation in their GLA gene will develop Fabry disease due to only having one X chromosome. On the other hand females who have a mutation on their GLA genes does not guarantee that they will undergo symptoms or that it will develop into Fabry disease because of females having two X chromosomes. This is because of one of the X chromosome not having the mutation, and it can overtake the function of the mutated one and keep her from developing the disease.
The five year old child’s family has a history of the disease Anderson-Fabry. The young male patient has both of his paternal grandparents free of the disorder, as well as his father who is symptom free. His mother shows symptoms, and his maternal grandmother is normal but his maternal grandfather died from the disease. It is shown in the pedigree provided

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