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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1973 Dec;36(6):1053–1062. doi: 10.1136/jnnp.36.6.1053

Anderson-Fabry disease: a histopathological study of three cases with observations on the mechanism of production of pain

Pauline Kahn 1,2,3,4
PMCID: PMC1083608  PMID: 4204059

Abstract

A clinical review and histopathological study of three cases of Anderson-Fabry disease is presented and pathological changes in the central and peripheral nervous systems are reported, in some sites for the first time. These are telangiectatic changes in vessels of the sympathetic ganglia in the vertebral trunk; storage of glycolipid in pigmented cells of the substantia nigra and in anterior horn cells; and degeneration of nerve fibres in the dorsal root entry zone and substantia gelatinosa of the spinal cord. The histopathological findings suggest that in this disease pain is due to involvement of dorsal root ganglion cells with associated axonal degeneration of the small fibres in pathways subserving pain.

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Selected References

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  1. Brady R. O., Gal A. E., Bradley R. M., Martensson E., Warshaw A. L., Laster L. Enzymatic defect in Fabry's disease. Ceramidetrihexosidase deficiency. N Engl J Med. 1967 May 25;276(21):1163–1167. doi: 10.1056/NEJM196705252762101. [DOI] [PubMed] [Google Scholar]
  2. Colombi A., Kostyal A., Bracher R., Gloor F., Mazzi R., Thölen H. Angiokeratoma corporis diffusum--Fabry's disease. Helv Med Acta. 1967 Dec;34(1):67–83. [PubMed] [Google Scholar]
  3. Cumings J. N. Inborn errors of metabolism in neurology (Wilson's disease, Refsum's disease and lipidoses). Proc R Soc Med. 1971 Mar;64(3):313–322. [PMC free article] [PubMed] [Google Scholar]
  4. Kocen R. S., Thomas P. K. Peripheral nerve involvement in Fabry's disease. Arch Neurol. 1970 Jan;22(1):81–88. doi: 10.1001/archneur.1970.00480190085014. [DOI] [PubMed] [Google Scholar]
  5. Opitz J. M., Stiles F. C., Wise D., Race R. R., Sanger R., Von Gemmingen G. R., Kierland R. R., Cross E. G., De Groot W. P. The Genetics of Angiokeratoma Corporis Diffusum (Fabry's Disease) and Its Linkage Relations with the Xg Locus. Am J Hum Genet. 1965 Jul;17(4):325–342. [PMC free article] [PubMed] [Google Scholar]
  6. RAHMAN A. N., LINDENBERG R. THE NEUROPATHOLOGY OF HEREDITARY DYSTOPIC LIPIDOSIS. Arch Neurol. 1963 Oct;9:373–385. doi: 10.1001/archneur.1963.00460100061007. [DOI] [PubMed] [Google Scholar]
  7. SWEELEY C. C., KLIONSKY B. FABRY'S DISEASE: CLASSIFICATION AS A SPHINGOLIPIDOSIS AND PARTIAL CHARACTERIZATION OF A NOVEL GLYCOLIPID. J Biol Chem. 1963 Sep;238:3148–3150. [PubMed] [Google Scholar]
  8. Spaeth G. L., Frost P. Fabry's disease. Its ocular manifestations. Arch Ophthalmol. 1965 Dec;74(6):760–769. doi: 10.1001/archopht.1965.00970040762005. [DOI] [PubMed] [Google Scholar]
  9. Steward V. W., Hitchcock C. Fabry's disease (angiokeratoma corporis diffusum). A report of 5 cases with pain in the extremities as the chief symptom. Pathol Eur. 1968;3(2):377–388. [PubMed] [Google Scholar]
  10. WALLACE H. J. Angiokeratoma corporis diffusum. Br J Dermatol. 1958 Oct;70(10):354–360. doi: 10.1111/j.1365-2133.1958.tb13796.x. [DOI] [PubMed] [Google Scholar]
  11. WISE D., WALLACE H. J., JELLINEK E. H. Angiokeratoma corporis diffusum. A clinical study of eight affected families. Q J Med. 1962 Apr;31:177–206. [PubMed] [Google Scholar]
  12. Wallace H. J. Anderson-Fabry disease. Br J Dermatol. 1973 Jan;88(1):1–23. [PubMed] [Google Scholar]

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