Table 2. Summary of investigated parameters and abnormalities as typical for FD.
Laboratory FD parameters | FD typical abnormalities | ||||||||||
Enzyme activity in | |||||||||||
Patient | Sex | Age | CDS mutation | Plasma[nmol MU/h/ml] | Leukocytes[nmol MU/h/mg] | Lyso-Gb3[ng/ml] | GLA RNAexpression | GLA expression in plasma | Renal | Cardiac | Neurologic |
II.3 | m | 71 | D313Y | 2.39 | 78 | 0.83 | yes | yes | no | no | WML |
II.4 | f | 74 | D313Y | 5.67 | 83 | 0.41 | yes | yes | no | no | WML |
II.6 | f | 76 | D313Y | 0.60 | 161 | 0.82 | yes | yes | no | no | WML |
II.7 | f | 58 | D313Y | 3.21 | 38 | 0.61 | yes | yes | no | no | WML |
III.7 | f | 38 | D313Y | 4.89 | 55 | 1.26 | n.d. | yes | no | no | n.d. |
III.8 | f | 49 | D313Y | 5.83 | n.d | n.d. | yes | yes | no | no | WML |
III.11 | f | 34 | D313Y | n.d. | n.d. | 1.82 | n.d. | n.d. | no | no | WML |
III.14 | f | 41 | D313Y | 0.10 | 79 | 0.75 | yes | yes | no | no | WML |
III.16 | f | 25 | no | 9.14 | 57 | n.d. | yes | yes | no | no | no |
III.17 | f | 31 | no | 10.1 | 64 | n.d. | yes | yes | no | no | No |
Renal parameters: ultrasonography, albumin/creatinine ratio, determination of eGFR. Cardiac parameters: echocardiography, cardiac magnetic resonance imaging (MRI) and electrocardiogram. Neural/cerebral parameters: MRI, neurography and neuropsychologic diagnostics. Reference values: plasma activity >8.0 nmol MU/h/ml; leukocyte activity >33 nmol MU/h/mg protein; lyso-Gb3<1.84 ng/ml. n.d.: not determined; WML: white matter lesions. Abnormal findings are highlighted in bold.