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Diagnosis Signs and symptoms of Fabry disease may be first noted in childhood or adolescence. However, because physicians often do not attribute those signs and symptoms to Fabry disease, patients may not be diagnosed until adulthood. Studies have shown the average age of diagnosis of Fabry disease was approximately 29 years. Delayed diagnosis may be due to under-recognition of the disease. Delayed diagnosis may also be due to the fact that Fabry disease symptoms are similar to those of other more common disorders, such as rheumatoid or juvenile arthritis, rheumatic fever, erythromelalgia, neurosis, Raynaud’s syndrome, multiple sclerosis, lupus, acute appendicitis, “growing pains” or malingering, petechiae, or collagen vascular disease. Fabry disease is a progressive disorder, therefore it important that patients be identified as early as possible. Earlier identification and diagnosis is important. Please note: The safety and effectiveness in pediatric patients have not been established. Fabry disease is inherited, which means it is passed down in families. A genetic counselor can help you to better understand your risk of having Fabry disease and passing it on. For more information on how Fabry disease is inherited in families, see Genetics and Fabry Disease. If you or a family member experience signs and symptoms common to Fabry disease, consult with your doctor. After an examination, he or she can determine whether to run a test for Fabry disease. This test, called an enzyme assay, measures the amount of alpha-GAL enzyme activity in the blood. For more information, visit the Getting Tested section to learn more, or call Genzyme Medical Information at 800-745-4447 or 617-768-9000, option 2. If you or a family member have been diagnosed with Fabry disease, you may benefit from the support of a genetic counselor or nurse. Genetic counselors and nurses are professionals who can help you learn more about the disease and assist you with issues such as disease inheritance, family planning, genetic testing, and communicating with family members about your diagnosis. For more information on genetic counseling and services that test for Fabry disease, go to the Patient Support Networks section, or call Genzyme Medical Information at 800-745-4447 or 617-768-9000, option 2. Some signs and symptoms, such as burning pain in the hands and feet or temperature intolerance, are obvious to those who experience them. Other signs and symptoms, however, such as proteinuria (increased amounts of protein in the urine), require a physician examination and lab testing. You can print and complete a Symptom Checklist to take to your doctor. The checklist includes the signs and symptoms most common to Fabry disease. Download the Symptom Checklist (PDF) Newly Diagnosed with Fabry Disease? Being diagnosed with a rare genetic disease can be unsettling. Although Fabry disease is rare, you are not alone. It is important to learn as much as you can about Fabry disease and your treatment options. Through one of the many support and information groups, you can communicate with someone else in a similar situation with similar concerns, fears, and frustrations. Learn more about these groups in the Patient Support Networks section. There is much to know about Fabry disease and treatment. For more information about Fabry disease and treatment, ask your doctor. You can also email Genzyme using our Ask Us form. |
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