Unexpected Hypotension in a Female Patient with Fabry Disease: Switching from Agalsidase α to β after Long-term ERT

被引:0
|
作者
Sugiura, Takuya [1 ]
Muto, Reiko [1 ,2 ]
Amano, Tatsuaki [3 ]
Kamiya, Fumitaka [4 ]
Sato, Yuka [1 ]
Maeda, Kayaho [1 ]
Saito, Shoji [1 ]
Katsuno, Takayuki [5 ]
Kato, Noritoshi [1 ]
Higashi, Michiko [6 ]
Numaguchi, Atsushi [6 ]
Matsuda, Naoyuki [6 ]
Sugiura, Kazumitsu [7 ]
Maruyama, Shoichi [1 ]
机构
[1] Nagoya Univ, Grad Sch Med, Dept Nephrol, Nagoya, Japan
[2] Nagoya Univ, Grad Sch Med, Dept Renal Replacement Therapy, Nagoya, Japan
[3] Handa City Hosp, Dept Nephrol, Handa, Japan
[4] Komaki City Hosp, Dept Nephrol, Komaki, Japan
[5] Aichi Med Univ, Med Ctr, Dept Nephrol & Rheumatol, Nagakute, Japan
[6] Nagoya Univ, Grad Sch Med, Dept Emergencyand Crit Care Med, Nagoya, Japan
[7] Fujita Hlth Univ, Sch Med, Dept Dermatol, Toyoake, Japan
关键词
Fabry disease; Female; enzyme replacement therapy; infusion-related reactions; ENZYME REPLACEMENT THERAPY; PLASMA GLOBOTRIAOSYLSPHINGOSINE LEVELS;
D O I
10.2169/internalmedicine.4685-24
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Fabry disease (FD) is a rare X-linked lysosomal storage disorder. Enzyme replacement therapies (ERT), such as agalsidase alpha and beta, are available treatment options. While infusion-related reactions (IRRs) are known to occur at the initiation of ERT owing to immune responses, there is limited information on IRRs during long-term ERT. We report the case of a female patient with Fabry disease who developed unexpected hypotension after six years of stable treatment with agalsidase alpha, leading to a switch to agalsidase beta. Continuous monitoring may be essential to identify potential IRRs in female patients with Fabry disease receiving long-term ERT.
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收藏
页数:6
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