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Fabry disease and the skin : data from FOS, the Fabry outcome survey

Identifieur interne : 000451 ( PascalFrancis/Corpus ); précédent : 000450; suivant : 000452

Fabry disease and the skin : data from FOS, the Fabry outcome survey

Auteurs : C. H. Orteu ; T. Jansen ; O. Lidove ; R. Jaussaud ; D. A. Hushes ; G. Pintos-Morell ; U. Ramaswami ; R. Parini ; G. Sunder-Plassman ; M. Beck ; A. B. Mehta

Source :

RBID : Pascal:07-0370161

Descripteurs français

English descriptors

Abstract

Background Fabry disease (also known as Anderson-Fabry disease) is a rare, X-linked lysosomal storage disorder that is characterized by accumulation of globotriaosylceramide throughout a range of tissues in the body. Objectives To ascertain the prevalence and nature of cutaneous manifestations in patients with Fabry disease and to relate these to the severity of systemic manifestations of the disease. Methods We have documented the dermatological features of this disease with reference to data from 714 patients (345 males, 369 females) registered on the Fabry Outcome Survey (FOS), a multicentre European database. Results We confirm that the commonest disease manifestation is angiokeratoma. Overall, 78% of males and 50% of females had one or more dermatological abnormality, the commonest being angiokeratoma (66% males, 36% females), hypohidrosis (53% males, 28% females), telangiectasia (23% males, 9% females) and lymphoedema (16% males, 6% females). We demonstrate for the first time that the presence of cutaneous vascular lesions correlates with the severity of the systemic manifestations of the disease (pain, renal failure, cardiac disease, premature cerebrovascular disease) as assessed by a severity scoring system. Although the condition is X linked, there is a surprisingly high prevalence of abnormalities in females. Conclusions The FOS database is a useful epidemiological tool in establishing the variety and relevance of cutaneous manifestations in Fabry disease. The present study confirms that the presence of dermatological manifestations appears to be a marker of greater severity of systemic disease, which emphasizes the importance of the dermatological assessment of these patients.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A08 01  1  ENG  @1 Fabry disease and the skin : data from FOS, the Fabry outcome survey
A11 01  1    @1 ORTEU (C. H.)
A11 02  1    @1 JANSEN (T.)
A11 03  1    @1 LIDOVE (O.)
A11 04  1    @1 JAUSSAUD (R.)
A11 05  1    @1 HUSHES (D. A.)
A11 06  1    @1 PINTOS-MORELL (G.)
A11 07  1    @1 RAMASWAMI (U.)
A11 08  1    @1 PARINI (R.)
A11 09  1    @1 SUNDER-PLASSMAN (G.)
A11 10  1    @1 BECK (M.)
A11 11  1    @1 MEHTA (A. B.)
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A14 03      @1 Department of Internal Medicine, Bichat Hospital @2 Paris @3 FRA @Z 3 aut.
A14 04      @1 Department of Internal Medicine and Infectious Diseases, Robert Debré Hospital @2 Reims @3 FRA @Z 4 aut.
A14 05      @1 Department of Haematology, Royal Free Hospital @2 London NW3 2QG @3 GBR @Z 5 aut. @Z 11 aut.
A14 06      @1 Department of Paediatrics, University Hospital Germans Trias i Pujol @2 Badalona @3 ESP @Z 6 aut.
A14 07      @1 Department of Paediatrics, Addenbrooke's Hospital @2 Cambridge @3 GBR @Z 7 aut.
A14 08      @1 Department of Paediatrics, University of Milan @2 Monza @3 ITA @Z 8 aut.
A14 09      @1 Division of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna @2 Vienna @3 AUT @Z 9 aut.
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A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
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A47 01  1    @0 07-0370161
A60       @1 P
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C01 01    ENG  @0 Background Fabry disease (also known as Anderson-Fabry disease) is a rare, X-linked lysosomal storage disorder that is characterized by accumulation of globotriaosylceramide throughout a range of tissues in the body. Objectives To ascertain the prevalence and nature of cutaneous manifestations in patients with Fabry disease and to relate these to the severity of systemic manifestations of the disease. Methods We have documented the dermatological features of this disease with reference to data from 714 patients (345 males, 369 females) registered on the Fabry Outcome Survey (FOS), a multicentre European database. Results We confirm that the commonest disease manifestation is angiokeratoma. Overall, 78% of males and 50% of females had one or more dermatological abnormality, the commonest being angiokeratoma (66% males, 36% females), hypohidrosis (53% males, 28% females), telangiectasia (23% males, 9% females) and lymphoedema (16% males, 6% females). We demonstrate for the first time that the presence of cutaneous vascular lesions correlates with the severity of the systemic manifestations of the disease (pain, renal failure, cardiac disease, premature cerebrovascular disease) as assessed by a severity scoring system. Although the condition is X linked, there is a surprisingly high prevalence of abnormalities in females. Conclusions The FOS database is a useful epidemiological tool in establishing the variety and relevance of cutaneous manifestations in Fabry disease. The present study confirms that the presence of dermatological manifestations appears to be a marker of greater severity of systemic disease, which emphasizes the importance of the dermatological assessment of these patients.
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Format Inist (serveur)

NO : PASCAL 07-0370161 INIST
ET : Fabry disease and the skin : data from FOS, the Fabry outcome survey
AU : ORTEU (C. H.); JANSEN (T.); LIDOVE (O.); JAUSSAUD (R.); HUSHES (D. A.); PINTOS-MORELL (G.); RAMASWAMI (U.); PARINI (R.); SUNDER-PLASSMAN (G.); BECK (M.); MEHTA (A. B.)
AF : Department of Dermatology, Royal Free Hospital/London NW3 2QG/Royaume-Uni (1 aut.); Department of Dermatology, Ruhr University/Bochum/Allemagne (2 aut.); Department of Internal Medicine, Bichat Hospital/Paris/France (3 aut.); Department of Internal Medicine and Infectious Diseases, Robert Debré Hospital/Reims/France (4 aut.); Department of Haematology, Royal Free Hospital/London NW3 2QG/Royaume-Uni (5 aut., 11 aut.); Department of Paediatrics, University Hospital Germans Trias i Pujol/Badalona/Espagne (6 aut.); Department of Paediatrics, Addenbrooke's Hospital/Cambridge/Royaume-Uni (7 aut.); Department of Paediatrics, University of Milan/Monza/Italie (8 aut.); Division of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna/Vienna/Autriche (9 aut.); University of Mainz/Mainz/Allemagne (10 aut.)
DT : Publication en série; Niveau analytique
SO : British journal of dermatology : (1951); ISSN 0007-0963; Coden BJDEAZ; Royaume-Uni; Da. 2007; Vol. 157; No. 2; Pp. 331-337; Bibl. 43 ref.
LA : Anglais
EA : Background Fabry disease (also known as Anderson-Fabry disease) is a rare, X-linked lysosomal storage disorder that is characterized by accumulation of globotriaosylceramide throughout a range of tissues in the body. Objectives To ascertain the prevalence and nature of cutaneous manifestations in patients with Fabry disease and to relate these to the severity of systemic manifestations of the disease. Methods We have documented the dermatological features of this disease with reference to data from 714 patients (345 males, 369 females) registered on the Fabry Outcome Survey (FOS), a multicentre European database. Results We confirm that the commonest disease manifestation is angiokeratoma. Overall, 78% of males and 50% of females had one or more dermatological abnormality, the commonest being angiokeratoma (66% males, 36% females), hypohidrosis (53% males, 28% females), telangiectasia (23% males, 9% females) and lymphoedema (16% males, 6% females). We demonstrate for the first time that the presence of cutaneous vascular lesions correlates with the severity of the systemic manifestations of the disease (pain, renal failure, cardiac disease, premature cerebrovascular disease) as assessed by a severity scoring system. Although the condition is X linked, there is a surprisingly high prevalence of abnormalities in females. Conclusions The FOS database is a useful epidemiological tool in establishing the variety and relevance of cutaneous manifestations in Fabry disease. The present study confirms that the presence of dermatological manifestations appears to be a marker of greater severity of systemic disease, which emphasizes the importance of the dermatological assessment of these patients.
CC : 002B08I; 002B22D02; 002B08J
FD : Sphingolipidose héréditaire Fabry; Peau pathologie; Angiokératome; Hyperhidrose; Dyshidrose; Lymphoedème; Télangiectasie; Pronostic; Evolution; Enquête; Surveillance; Dermatologie; Lipide
FG : Appareil circulatoire pathologie; Enzymopathie; Lipoïdose; Maladie héréditaire; Métabolisme pathologie; Système nerveux pathologie; Vaisseau sanguin pathologie; Angiome; Dyskératose; Hyperkératose; Glande sudoripare pathologie; Dermatose bulleuse; Immunopathologie; Lymphatique pathologie
ED : Fabry disease; Skin disease; Angiokeratoma; Hyperhidrosis; Dyshidrosis; Lymphedema; Telangiectasia; Prognosis; Evolution; Survey; Surveillance; Dermatology; Lipids
EG : Cardiovascular disease; Enzymopathy; Lipoidosis; Genetic disease; Metabolic diseases; Nervous system diseases; Vascular disease; Angioma; Dyskeratosis; Hyperkeratosis; Sweat gland disease; Bullous dermatosis; Immunopathology; Lymphatic vessel disease
SD : Esfingolipidosis hereditaria Fabry; Piel patología; Angioqueratoma; Hiperhidrosis; Dishidrosis; Linfedema; Telangiectasia; Pronóstico; Evolución; Encuesta; Vigilancia; Dermatología; Lípido
LO : INIST-1043.354000149951880170
ID : 07-0370161

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Pascal:07-0370161

Le document en format XML

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<inist:fA14 i1="08">
<s1>Department of Paediatrics, University of Milan</s1>
<s2>Monza</s2>
<s3>ITA</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
</affiliation>
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<author>
<name sortKey="Sunder Plassman, G" sort="Sunder Plassman, G" uniqKey="Sunder Plassman G" first="G." last="Sunder-Plassman">G. Sunder-Plassman</name>
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<inist:fA14 i1="09">
<s1>Division of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna</s1>
<s2>Vienna</s2>
<s3>AUT</s3>
<sZ>9 aut.</sZ>
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</author>
<author>
<name sortKey="Beck, M" sort="Beck, M" uniqKey="Beck M" first="M." last="Beck">M. Beck</name>
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<inist:fA14 i1="10">
<s1>University of Mainz</s1>
<s2>Mainz</s2>
<s3>DEU</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Mehta, A B" sort="Mehta, A B" uniqKey="Mehta A" first="A. B." last="Mehta">A. B. Mehta</name>
<affiliation>
<inist:fA14 i1="05">
<s1>Department of Haematology, Royal Free Hospital</s1>
<s2>London NW3 2QG</s2>
<s3>GBR</s3>
<sZ>5 aut.</sZ>
<sZ>11 aut.</sZ>
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</author>
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<series>
<title level="j" type="main">British journal of dermatology : (1951)</title>
<title level="j" type="abbreviated">Br. j. dermatol. : (1951)</title>
<idno type="ISSN">0007-0963</idno>
<imprint>
<date when="2007">2007</date>
</imprint>
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<title level="j" type="main">British journal of dermatology : (1951)</title>
<title level="j" type="abbreviated">Br. j. dermatol. : (1951)</title>
<idno type="ISSN">0007-0963</idno>
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<term>Angiokeratoma</term>
<term>Dermatology</term>
<term>Dyshidrosis</term>
<term>Evolution</term>
<term>Fabry disease</term>
<term>Hyperhidrosis</term>
<term>Lipids</term>
<term>Lymphedema</term>
<term>Prognosis</term>
<term>Skin disease</term>
<term>Surveillance</term>
<term>Survey</term>
<term>Telangiectasia</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Sphingolipidose héréditaire Fabry</term>
<term>Peau pathologie</term>
<term>Angiokératome</term>
<term>Hyperhidrose</term>
<term>Dyshidrose</term>
<term>Lymphoedème</term>
<term>Télangiectasie</term>
<term>Pronostic</term>
<term>Evolution</term>
<term>Enquête</term>
<term>Surveillance</term>
<term>Dermatologie</term>
<term>Lipide</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">Background Fabry disease (also known as Anderson-Fabry disease) is a rare, X-linked lysosomal storage disorder that is characterized by accumulation of globotriaosylceramide throughout a range of tissues in the body. Objectives To ascertain the prevalence and nature of cutaneous manifestations in patients with Fabry disease and to relate these to the severity of systemic manifestations of the disease. Methods We have documented the dermatological features of this disease with reference to data from 714 patients (345 males, 369 females) registered on the Fabry Outcome Survey (FOS), a multicentre European database. Results We confirm that the commonest disease manifestation is angiokeratoma. Overall, 78% of males and 50% of females had one or more dermatological abnormality, the commonest being angiokeratoma (66% males, 36% females), hypohidrosis (53% males, 28% females), telangiectasia (23% males, 9% females) and lymphoedema (16% males, 6% females). We demonstrate for the first time that the presence of cutaneous vascular lesions correlates with the severity of the systemic manifestations of the disease (pain, renal failure, cardiac disease, premature cerebrovascular disease) as assessed by a severity scoring system. Although the condition is X linked, there is a surprisingly high prevalence of abnormalities in females. Conclusions The FOS database is a useful epidemiological tool in establishing the variety and relevance of cutaneous manifestations in Fabry disease. The present study confirms that the presence of dermatological manifestations appears to be a marker of greater severity of systemic disease, which emphasizes the importance of the dermatological assessment of these patients.</div>
</front>
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<s1>Fabry disease and the skin : data from FOS, the Fabry outcome survey</s1>
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<s1>ORTEU (C. H.)</s1>
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<s1>RAMASWAMI (U.)</s1>
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<s1>PARINI (R.)</s1>
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<s1>SUNDER-PLASSMAN (G.)</s1>
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<s1>MEHTA (A. B.)</s1>
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<s1>Department of Dermatology, Royal Free Hospital</s1>
<s2>London NW3 2QG</s2>
<s3>GBR</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>Department of Dermatology, Ruhr University</s1>
<s2>Bochum</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Department of Internal Medicine, Bichat Hospital</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>3 aut.</sZ>
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<fA14 i1="04">
<s1>Department of Internal Medicine and Infectious Diseases, Robert Debré Hospital</s1>
<s2>Reims</s2>
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<sZ>4 aut.</sZ>
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<fA14 i1="05">
<s1>Department of Haematology, Royal Free Hospital</s1>
<s2>London NW3 2QG</s2>
<s3>GBR</s3>
<sZ>5 aut.</sZ>
<sZ>11 aut.</sZ>
</fA14>
<fA14 i1="06">
<s1>Department of Paediatrics, University Hospital Germans Trias i Pujol</s1>
<s2>Badalona</s2>
<s3>ESP</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="07">
<s1>Department of Paediatrics, Addenbrooke's Hospital</s1>
<s2>Cambridge</s2>
<s3>GBR</s3>
<sZ>7 aut.</sZ>
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<fA14 i1="08">
<s1>Department of Paediatrics, University of Milan</s1>
<s2>Monza</s2>
<s3>ITA</s3>
<sZ>8 aut.</sZ>
</fA14>
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<s1>Division of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna</s1>
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<s3>AUT</s3>
<sZ>9 aut.</sZ>
</fA14>
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<s1>University of Mainz</s1>
<s2>Mainz</s2>
<s3>DEU</s3>
<sZ>10 aut.</sZ>
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<fA17 i1="01" i2="1">
<s1>FOS Investigators</s1>
<s3>INC</s3>
</fA17>
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<s1>331-337</s1>
</fA20>
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<s1>2007</s1>
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<s0>ENG</s0>
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<s1>INIST</s1>
<s2>1043</s2>
<s5>354000149951880170</s5>
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<s1>© 2007 INIST-CNRS. All rights reserved.</s1>
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<s0>43 ref.</s0>
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<s0>07-0370161</s0>
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<s1>P</s1>
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<s0>A</s0>
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<s0>British journal of dermatology : (1951)</s0>
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<fA66 i1="01">
<s0>GBR</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Background Fabry disease (also known as Anderson-Fabry disease) is a rare, X-linked lysosomal storage disorder that is characterized by accumulation of globotriaosylceramide throughout a range of tissues in the body. Objectives To ascertain the prevalence and nature of cutaneous manifestations in patients with Fabry disease and to relate these to the severity of systemic manifestations of the disease. Methods We have documented the dermatological features of this disease with reference to data from 714 patients (345 males, 369 females) registered on the Fabry Outcome Survey (FOS), a multicentre European database. Results We confirm that the commonest disease manifestation is angiokeratoma. Overall, 78% of males and 50% of females had one or more dermatological abnormality, the commonest being angiokeratoma (66% males, 36% females), hypohidrosis (53% males, 28% females), telangiectasia (23% males, 9% females) and lymphoedema (16% males, 6% females). We demonstrate for the first time that the presence of cutaneous vascular lesions correlates with the severity of the systemic manifestations of the disease (pain, renal failure, cardiac disease, premature cerebrovascular disease) as assessed by a severity scoring system. Although the condition is X linked, there is a surprisingly high prevalence of abnormalities in females. Conclusions The FOS database is a useful epidemiological tool in establishing the variety and relevance of cutaneous manifestations in Fabry disease. The present study confirms that the presence of dermatological manifestations appears to be a marker of greater severity of systemic disease, which emphasizes the importance of the dermatological assessment of these patients.</s0>
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<fC02 i1="02" i2="X">
<s0>002B22D02</s0>
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<s0>002B08J</s0>
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<fC03 i1="01" i2="X" l="FRE">
<s0>Sphingolipidose héréditaire Fabry</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Fabry disease</s0>
<s5>01</s5>
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<fC03 i1="01" i2="X" l="SPA">
<s0>Esfingolipidosis hereditaria Fabry</s0>
<s5>01</s5>
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<s5>03</s5>
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<s0>Angiokeratoma</s0>
<s5>03</s5>
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<s5>05</s5>
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<s5>05</s5>
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<s5>05</s5>
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<s5>06</s5>
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<s0>Lymphedema</s0>
<s5>06</s5>
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<s5>07</s5>
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<s5>11</s5>
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<s5>11</s5>
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<s5>11</s5>
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<s5>12</s5>
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<s0>Surveillance</s0>
<s5>12</s5>
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<s5>12</s5>
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<s5>13</s5>
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<s5>25</s5>
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<s5>25</s5>
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<s5>38</s5>
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<s5>38</s5>
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<s5>39</s5>
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<s5>39</s5>
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<s5>39</s5>
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<s5>40</s5>
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<s5>40</s5>
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<s5>41</s5>
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<s5>41</s5>
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<s5>42</s5>
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<s5>42</s5>
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<s5>42</s5>
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<s0>Vaisseau sanguin pathologie</s0>
<s5>43</s5>
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<s5>43</s5>
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<s5>43</s5>
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<s5>44</s5>
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<s0>Angioma</s0>
<s5>44</s5>
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<s0>Angioma</s0>
<s5>44</s5>
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<s5>45</s5>
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<s5>45</s5>
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<s0>Disqueratosis</s0>
<s5>45</s5>
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<s5>46</s5>
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<s5>46</s5>
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<s5>46</s5>
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<s5>47</s5>
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<s0>Sweat gland disease</s0>
<s5>47</s5>
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<s0>Glándula sudorípara patología</s0>
<s5>47</s5>
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<s5>48</s5>
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<s5>48</s5>
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<s5>48</s5>
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<s5>49</s5>
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<s0>Immunopathology</s0>
<s5>49</s5>
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<s5>49</s5>
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<s0>Lymphatique pathologie</s0>
<s5>50</s5>
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<s0>Lymphatic vessel disease</s0>
<s5>50</s5>
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<s0>Linfático patología</s0>
<s5>50</s5>
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<s1>239</s1>
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<s1>OTO</s1>
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<ET>Fabry disease and the skin : data from FOS, the Fabry outcome survey</ET>
<AU>ORTEU (C. H.); JANSEN (T.); LIDOVE (O.); JAUSSAUD (R.); HUSHES (D. A.); PINTOS-MORELL (G.); RAMASWAMI (U.); PARINI (R.); SUNDER-PLASSMAN (G.); BECK (M.); MEHTA (A. B.)</AU>
<AF>Department of Dermatology, Royal Free Hospital/London NW3 2QG/Royaume-Uni (1 aut.); Department of Dermatology, Ruhr University/Bochum/Allemagne (2 aut.); Department of Internal Medicine, Bichat Hospital/Paris/France (3 aut.); Department of Internal Medicine and Infectious Diseases, Robert Debré Hospital/Reims/France (4 aut.); Department of Haematology, Royal Free Hospital/London NW3 2QG/Royaume-Uni (5 aut., 11 aut.); Department of Paediatrics, University Hospital Germans Trias i Pujol/Badalona/Espagne (6 aut.); Department of Paediatrics, Addenbrooke's Hospital/Cambridge/Royaume-Uni (7 aut.); Department of Paediatrics, University of Milan/Monza/Italie (8 aut.); Division of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna/Vienna/Autriche (9 aut.); University of Mainz/Mainz/Allemagne (10 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>British journal of dermatology : (1951); ISSN 0007-0963; Coden BJDEAZ; Royaume-Uni; Da. 2007; Vol. 157; No. 2; Pp. 331-337; Bibl. 43 ref.</SO>
<LA>Anglais</LA>
<EA>Background Fabry disease (also known as Anderson-Fabry disease) is a rare, X-linked lysosomal storage disorder that is characterized by accumulation of globotriaosylceramide throughout a range of tissues in the body. Objectives To ascertain the prevalence and nature of cutaneous manifestations in patients with Fabry disease and to relate these to the severity of systemic manifestations of the disease. Methods We have documented the dermatological features of this disease with reference to data from 714 patients (345 males, 369 females) registered on the Fabry Outcome Survey (FOS), a multicentre European database. Results We confirm that the commonest disease manifestation is angiokeratoma. Overall, 78% of males and 50% of females had one or more dermatological abnormality, the commonest being angiokeratoma (66% males, 36% females), hypohidrosis (53% males, 28% females), telangiectasia (23% males, 9% females) and lymphoedema (16% males, 6% females). We demonstrate for the first time that the presence of cutaneous vascular lesions correlates with the severity of the systemic manifestations of the disease (pain, renal failure, cardiac disease, premature cerebrovascular disease) as assessed by a severity scoring system. Although the condition is X linked, there is a surprisingly high prevalence of abnormalities in females. Conclusions The FOS database is a useful epidemiological tool in establishing the variety and relevance of cutaneous manifestations in Fabry disease. The present study confirms that the presence of dermatological manifestations appears to be a marker of greater severity of systemic disease, which emphasizes the importance of the dermatological assessment of these patients.</EA>
<CC>002B08I; 002B22D02; 002B08J</CC>
<FD>Sphingolipidose héréditaire Fabry; Peau pathologie; Angiokératome; Hyperhidrose; Dyshidrose; Lymphoedème; Télangiectasie; Pronostic; Evolution; Enquête; Surveillance; Dermatologie; Lipide</FD>
<FG>Appareil circulatoire pathologie; Enzymopathie; Lipoïdose; Maladie héréditaire; Métabolisme pathologie; Système nerveux pathologie; Vaisseau sanguin pathologie; Angiome; Dyskératose; Hyperkératose; Glande sudoripare pathologie; Dermatose bulleuse; Immunopathologie; Lymphatique pathologie</FG>
<ED>Fabry disease; Skin disease; Angiokeratoma; Hyperhidrosis; Dyshidrosis; Lymphedema; Telangiectasia; Prognosis; Evolution; Survey; Surveillance; Dermatology; Lipids</ED>
<EG>Cardiovascular disease; Enzymopathy; Lipoidosis; Genetic disease; Metabolic diseases; Nervous system diseases; Vascular disease; Angioma; Dyskeratosis; Hyperkeratosis; Sweat gland disease; Bullous dermatosis; Immunopathology; Lymphatic vessel disease</EG>
<SD>Esfingolipidosis hereditaria Fabry; Piel patología; Angioqueratoma; Hiperhidrosis; Dishidrosis; Linfedema; Telangiectasia; Pronóstico; Evolución; Encuesta; Vigilancia; Dermatología; Lípido</SD>
<LO>INIST-1043.354000149951880170</LO>
<ID>07-0370161</ID>
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