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Severe Orthostatic Hypotension in a Female Carrier of Fabry's Disease
Tatsuro Mutoh, MD;
Yasuhiro Senda, MD;
Kimiya Sugimura, MD;
Yasuo Koike, MD;
Yukihiko Matsuoka, MD;
Itsuro Sobue, MD;
Akira Takahashi, MD;
Makoto Naoi, MD
Arch Neurol. 1988;45(4):468-472.
Abstract
A 21-year-old woman in a family with a history of Fabry's disease showed orthostatic hypotension and whorl-like corneal opacity typical for Fabry's disease. Biochemical studies revealed that she was a heterozygote of the Fabry gene. A variety of autonomic function tests demonstrated both sympathetic and parasympathetic dysfunction. To our knowledge, the present case is the first report of a heterozygous female carrier of Fabry's disease presenting dysfunction of the autonomic nervous system.
Author Affiliations
From the Division of Neurology, Second Department of Internal Medicine, Fukui (Japan) Medical School (Dr Mutoh); the Departments of Neurology (Drs Senda, Sugimura, Koike, Matsuoka, and Takahashi) and Biochemistry (Dr Naoi), Nagoya (Japan) University School of Medicine; and National Chubu Hospital, Nagoya, Japan (Dr Sobue).
Footnotes
Accepted for publication Sept 18, 1987.
Reprint requests to the National Institutes of Health, National Institute of Child Health and Human Development, Section on Growth Factors, Bldg 6, Room 1A07, Bethesda, MD 20892 (Dr Mutoh).
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