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  1. Dokkyo Medical Journal
  2. 4(5) 2025

Genetic Counselling for a Pregnant Woman from Female Fabry Disease Families: Case Report and Newborn Screening Update

https://dmu.repo.nii.ac.jp/records/2000783
https://dmu.repo.nii.ac.jp/records/2000783
b580808b-6893-4799-b337-405ed2e5e81f
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DKMJ-4-5-9.pdf DKMJ-4-5-9.pdf (232 KB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Genetic Counselling for a Pregnant Woman from Female Fabry Disease Families: Case Report and Newborn Screening Update
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 Fabry disease
キーワード
言語 en
主題Scheme Other
主題 Genetic counselling
キーワード
言語 en
主題Scheme Other
主題 Newborn screening
キーワード
言語 en
主題Scheme Other
主題 Female inheritance
キーワード
言語 en
主題Scheme Other
主題 GLA gene
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 Naruse, Katsuhiko

× Naruse, Katsuhiko

en Naruse, Katsuhiko

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Muramatsu, Miyuki

× Muramatsu, Miyuki

en Muramatsu, Miyuki

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Soeda, Wakana

× Soeda, Wakana

en Soeda, Wakana

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Tada, Kazumi

× Tada, Kazumi

en Tada, Kazumi

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Shibata, Eiji

× Shibata, Eiji

en Shibata, Eiji

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Tanaka, Yuko

× Tanaka, Yuko

en Tanaka, Yuko

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Kogai, Takahiko

× Kogai, Takahiko

en Kogai, Takahiko

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Imataka, George

× Imataka, George

en Imataka, George

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Suzumura, Hiroshi

× Suzumura, Hiroshi

en Suzumura, Hiroshi

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書誌情報 en : Dokkyo Medical Journal

巻 4, 号 5, p. 413-416, 発行日 2025-10-25
記事種別
値 Case Report
内容記述
内容記述タイプ Abstract
内容記述 Fabry disease is caused by a deficiency in metabolic enzymes that leads to kidney failure, heart disease, and stroke with age. It is generally considered to be an X-linked recessive inheritance; however, a high incidence of female cases has been found in some families, and genetic counseling (GC) remains challenging.

A 39-year-old pregnant woman at 32 weeks of gestation was referred for GC. Her mother died of Fabry disease at the age of 66, her elder brother died at the age of 36, and she herself was confirmed to have a heterozygous mutation in the GLA gene. In GC, the probability of inheritance in her fetus, about the disease that is commonly likely to occur in boys, but in girls, there are large individual differences in onset or disease status, and enzyme replacement therapy, which can delay the progression of the disease, were explained. Her understanding of the disease was quite good. It has also been explained that expanded blood spot screening after birth is recommended for newborns (also for girls). Although the GC gave her a positive view of the disease, there was fear that the outcome would persist if the disease was severe.

Later, she had a successful spontaneous birth of a female baby at term. Screening of the newborn showed no problems with enzyme expression, and disease was not considered to be present at this stage. Female Fabry disease is rare, but careful GC is strongly needed if there is female onset in the family tree, especially in relation to pregnancy.
言語 en
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ EISSN
収録物識別子 2436-522X
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12941861
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.51040/dkmj.2025-020
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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