2018
DOI: 10.18632/oncotarget.23970
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Fabry disease and multiple sclerosis misdiagnosis: the role of family history and neurological signs

Abstract: Fabry disease (FD) is an X-linked inherited lysosomal storage disorder caused by α galactosidase A (α-gal A) deficiency. Central nervous system involvement and chronic white matter lesions are observed in both FD and multiple sclerosis (MS), which can confound the differential diagnosis. We analyzed the GLA gene, which encodes α-gal A, in 86 patients with clinical and neuroradiological findings consistent with MS to determine whether they had FD. We identified four women initially diagnosed with MS who had GLA… Show more

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Cited by 16 publications
(13 citation statements)
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References 34 publications
(37 reference statements)
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“…Some research suggests that 40% of people in the vegetative state are misdiagnosed [ 98 ]. Because the clinical features of FD overlap with those of other disorders, errors and delays in diagnosis are common [ 99 ]. Despite being an extensively studied condition, the causes of ADHD remain poorly understood and substantial in children, controversy exists regarding its correct diagnosis [ 100 ].…”
Section: Poor Health Diagnosismentioning
confidence: 99%
“…Some research suggests that 40% of people in the vegetative state are misdiagnosed [ 98 ]. Because the clinical features of FD overlap with those of other disorders, errors and delays in diagnosis are common [ 99 ]. Despite being an extensively studied condition, the causes of ADHD remain poorly understood and substantial in children, controversy exists regarding its correct diagnosis [ 100 ].…”
Section: Poor Health Diagnosismentioning
confidence: 99%
“…However, MRI findings can be very heterogeneous, with an overall poor global diagnostic accuracy both in terms of specificity and sensitivity. For this reason, when evaluating brain images of FD patients, it is mandatory not only to have a good knowledge of all the radiological findings present in this condition but also an accurate evaluation of both systemic organ involvement and familial history, which is known to be useful in the diagnostic workup of patients with suspected FD [ 12 ]. A summary of the major conventional imaging findings in FD is shown in Table 1 .…”
Section: Conventional Imagingmentioning
confidence: 99%
“…It is well-known that MS phenotype can share some peculiarities with several single-gene disorders, specifically, the presence of white matter lesions detectable by MRI (Weisfeld-Adams, Katz Sand, Honce, & Lublin, 2015). Episodes of misdiagnosis have been reported, above all with Fabry's disease (Colomba et al, 2018;Yau, Fabis-Pedrini, & Kermode, 2017) and adult-type metachromatic leukodystrophy (Chebel et al, 2009). A diagnostic problematic exists in particular with late manifestation of symptoms because of rare genetic diseases, during adolescence.…”
Section: Introductionmentioning
confidence: 99%