Fabry's disease differential diagnosis: Difference between revisions

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!Possible differential diagnosis
!Possible differential diagnosis
!DDx Clues
!DDx Clues
!Further inf
!Further info
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| rowspan="7" |Skin
| rowspan="7" |Skin
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| rowspan="4" |[[Hypohidrosis]]/[[Anhidrosis]]
| rowspan="4" |[[Hypohidrosis]]/[[Anhidrosis]]
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| rowspan="4" |
* Mean age: Mostly in the 20s <ref name="pmid17573884">{{cite journal| author=Orteu CH, Jansen T, Lidove O, Jaussaud R, Hughes DA, Pintos-Morell G | display-authors=etal| title=Fabry disease and the skin: data from FOS, the Fabry outcome survey. | journal=Br J Dermatol | year= 2007 | volume= 157 | issue= 2 | pages= 331-7 | pmid=17573884 | doi=10.1111/j.1365-2133.2007.08002.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17573884  }}</ref>
*Mean age: Mostly in the 20s <ref name="pmid17573884">{{cite journal| author=Orteu CH, Jansen T, Lidove O, Jaussaud R, Hughes DA, Pintos-Morell G | display-authors=etal| title=Fabry disease and the skin: data from FOS, the Fabry outcome survey. | journal=Br J Dermatol | year= 2007 | volume= 157 | issue= 2 | pages= 331-7 | pmid=17573884 | doi=10.1111/j.1365-2133.2007.08002.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17573884  }}</ref>
|[[Horner's syndrome|Horner syndrome]]
|[[Horner's syndrome|Horner syndrome]]
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* Classic signs: Ptosis, Miosis, Anhidrosis
*Classic signs: Ptosis, Miosis, Anhidrosis
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* In children and infants [[Harlequin sign]] is more apparent than anhidrosis
*In children and infants [[Harlequin sign]] is more apparent than anhidrosis
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|[[Topiramate]] usage
|[[Topiramate]] usage
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* History taking
*History taking
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|-
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|[[Acetylcholine]] intoxication
|[[Acetylcholine]] intoxication
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* History taking
*History taking
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|[[Ectodermal dysplasia]]
|[[Ectodermal dysplasia]]
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* Accompanying with hair and teeth problems<ref name="pmid34989033">{{cite journal| author=Kohn LL, Braun M, Cordoro KM, McCalmont TH, Shah SD, Frieden IJ | display-authors=etal| title=Skin and Mucosal Manifestations in NEMO Syndrome: A Case Series and Literature Review. | journal=Pediatr Dermatol | year= 2022 | volume= 39 | issue= 1 | pages= 84-90 | pmid=34989033 | doi=10.1111/pde.14905 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34989033  }}</ref>
*Accompanying with hair and teeth problems<ref name="pmid34989033">{{cite journal| author=Kohn LL, Braun M, Cordoro KM, McCalmont TH, Shah SD, Frieden IJ | display-authors=etal| title=Skin and Mucosal Manifestations in NEMO Syndrome: A Case Series and Literature Review. | journal=Pediatr Dermatol | year= 2022 | volume= 39 | issue= 1 | pages= 84-90 | pmid=34989033 | doi=10.1111/pde.14905 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34989033  }}</ref>
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|[[Hyperhidrosis]]
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* More common in females
* Mean age: Mostly in the 30s
|[[Primary hyperhidrosis]]<ref name="pmid32726555">{{cite journal| author=Gorelick J, Friedman A| title=Diagnosis and Management of Primary Hyperhidrosis: Practical Guidance and Current Therapy Update. | journal=J Drugs Dermatol | year= 2020 | volume= 19 | issue= 7 | pages= 704-710 | pmid=32726555 | doi=10.36849/JDD.2020.5162 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32726555  }}</ref>
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* Mean age: before 25
* Focal
* Family history of idiopathic hyperhidrosis
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Revision as of 21:10, 13 March 2022

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Differentiating Fabry's disease from other disease

Organ Sing/Symptom Fabry's disease Possible differential diagnosis DDx Clues Further info
Skin Angiokeratoma
Fucosidosis[1]
  • Mean age: 2 years, the older patients more likely to have in examination
  • Location: Varies involve Hips, Groin, Abdomen, external genitalia


  • The clinical appearance of the lesions may be indistinguishable.
  • The light microscopic findings are indistinguishable.
  • Should Investigate accompanying symptoms
Sialidosis (Juvenile foem)[2]
  • Mean age : 2 years
  • Location: Diffuse
  • The clinical appearance of the lesions may be indistinguishable.
  • Should Investigate accompanying symptoms
Acral pseudolymphomatous angiokeratoma of childhood[3]
  • Mainly children
  • Location: Trunk and exterimities
  • Should Investigate accompanying symptoms
Hypohidrosis/Anhidrosis
  • Mean age: Mostly in the 20s [4]
Horner syndrome
  • Classic signs: Ptosis, Miosis, Anhidrosis
  • In children and infants Harlequin sign is more apparent than anhidrosis
Topiramate usage
  • History taking
Acetylcholine intoxication
  • History taking
Ectodermal dysplasia
  • Accompanying with hair and teeth problems[5]
Hyperhidrosis
  • More common in females
  • Mean age: Mostly in the 30s
Primary hyperhidrosis[6]
  • Mean age: before 25
  • Focal
  • Family history of idiopathic hyperhidrosis


References

  1. Stepien KM, Ciara E, Jezela-Stanek A (2020). "Fucosidosis-Clinical Manifestation, Long-Term Outcomes, and Genetic Profile-Review and Case Series". Genes (Basel). 11 (11). doi:10.3390/genes11111383. PMC 7700486 Check |pmc= value (help). PMID 33266441 Check |pmid= value (help).
  2. Zampetti A, Orteu CH, Antuzzi D, Bongiorno MR, Manco S, Gnarra M; et al. (2012). "Angiokeratoma: decision-making aid for the diagnosis of Fabry disease". Br J Dermatol. 166 (4): 712–20. doi:10.1111/j.1365-2133.2012.10742.x. PMID 22452439.
  3. Chedraoui A, Malek J, Tamraz H, Zaynoun S, Kibbi AG, Ghosn S (2010). "Acral pseudolymphomatous angiokeratoma of children in an elderly man: report of a case and review of the literature". Int J Dermatol. 49 (2): 184–8. doi:10.1111/j.1365-4632.2009.04203.x. PMID 20465644.
  4. Orteu CH, Jansen T, Lidove O, Jaussaud R, Hughes DA, Pintos-Morell G; et al. (2007). "Fabry disease and the skin: data from FOS, the Fabry outcome survey". Br J Dermatol. 157 (2): 331–7. doi:10.1111/j.1365-2133.2007.08002.x. PMID 17573884.
  5. Kohn LL, Braun M, Cordoro KM, McCalmont TH, Shah SD, Frieden IJ; et al. (2022). "Skin and Mucosal Manifestations in NEMO Syndrome: A Case Series and Literature Review". Pediatr Dermatol. 39 (1): 84–90. doi:10.1111/pde.14905. PMID 34989033 Check |pmid= value (help).
  6. Gorelick J, Friedman A (2020). "Diagnosis and Management of Primary Hyperhidrosis: Practical Guidance and Current Therapy Update". J Drugs Dermatol. 19 (7): 704–710. doi:10.36849/JDD.2020.5162. PMID 32726555 Check |pmid= value (help).