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Nationwide screening for Fabry disease in unselected stroke patients
A. Tomek, R. Petra, J. Paulasová Schwabová, A. Olšerová, M. Škorňa, M. Nevšímalová, L. Šimůnek, R. Herzig, Š. Fafejtová, P. Mikulenka, A. Táboříková, J. Neumann, R. Brzezny, H. Sobolová, J. Bartoník, D. Václavík, M. Vachová, K. Bechyně, H....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, multicentrická studie, práce podpořená grantem
Free Medical Journals od 2006
Public Library of Science (PLoS) od 2006
PubMed Central od 2006
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ProQuest Central od 2006-12-01
Open Access Digital Library od 2006-01-01
Open Access Digital Library od 2006-10-01
Open Access Digital Library od 2006-01-01
Medline Complete (EBSCOhost) od 2008-01-01
Nursing & Allied Health Database (ProQuest) od 2006-12-01
Health & Medicine (ProQuest) od 2006-12-01
Public Health Database (ProQuest) od 2006-12-01
ROAD: Directory of Open Access Scholarly Resources od 2006
Odkazy
PubMed
34905550
DOI
10.1371/journal.pone.0260601
Knihovny.cz E-zdroje
- MeSH
- alfa-galaktosidasa krev genetika MeSH
- cévní mozková příhoda krev komplikace epidemiologie genetika MeSH
- exprese genu MeSH
- Fabryho nemoc krev komplikace epidemiologie genetika MeSH
- genetické testování MeSH
- glykolipidy krev MeSH
- lidé středního věku MeSH
- lidé MeSH
- mutace MeSH
- prevalence MeSH
- prospektivní studie MeSH
- senioři MeSH
- sfingolipidy krev MeSH
- test suché kapky krve MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
BACKGROUND AND AIMS: Fabry disease (FD) is a rare X-linked lysosomal storage disorder caused by disease-associated variants in the alpha-galactosidase A gene (GLA). FD is a known cause of stroke in younger patients. There are limited data on prevalence of FD and stroke risk in unselected stroke patients. METHODS: A prospective nationwide study including 35 (78%) of all 45 stroke centers and all consecutive stroke patients admitted during three months. Clinical data were collected in the RES-Q database. FD was diagnosed using dried blood spots in a stepwise manner: in males-enzymatic activity, globotriaosylsphingosine (lyso-Gb3) quantification, if positive followed by GLA gene sequencing; and in females GLA sequencing followed by lyso-Gb3. RESULTS: 986 consecutive patients (54% men, mean age 70 years) were included. Observed stroke type was ischemic 79%, transient ischemic attack (TIA) 14%, intracerebral hemorrhage (ICH) 7%, subarachnoid hemorrhage 1% and cerebral venous thrombosis 0.1%. Two (0.2%, 95% CI 0.02-0.7) patients had a pathogenic variant associated with the classical FD phenotype (c.1235_1236delCT and p.G325S). Another fourteen (1.4%, 95% CI 0.08-2.4) patients had a variant of GLA gene considered benign (9 with p.D313Y, one p.A143T, one p.R118C, one p.V199A, one p.R30K and one p.R38G). The index stroke in two carriers of disease-associated variant was ischemic lacunar. In 14 carriers of GLA gene variants 11 strokes were ischemic, two TIA, and one ICH. Patients with positive as compared to negative GLA gene screening were younger (mean 60±SD, min, max, vs 70±SD, min, max, P = 0.02), otherwise there were no differences in other baseline variables. CONCLUSIONS: The prevalence of FD in unselected adult patients with acute stroke is 0.2%. Both patients who had a pathogenic GLA gene variant were younger than 50 years. Our results support FD screening in patients that had a stroke event before 50 years of age.
Department of Neurology Hospital České Budějovice České Budějovice Czech Republic
Department of Neurology Hospital Jihlava Jihlava Czech Republic
Department of Neurology Hospital Písek Písek Czech Republic
Department of Neurology Krajská zdravotní a s Hospital Děčín Děčín Czech Republic
Department of Neurology Krajská zdravotní a s Hospital Teplice Teplice Czech Republic
Department of Neurology Municipal Hospital Ostrava Ostrava Czech Republic
Department of Neurology Neurology Dpt Hospital Třinec Třinec Czech Republic
Department of Neurology Neurology Dpt Regional Hospital Kladno Kladno Czech Republic
Department of Neurology Neurology Dpt Regional Hospital of Tomáš Baťa Zlín Czech Republic
Department of Neurology Palacký University Medical School and Hospital Olomouc Czech Republic
Department of Neurology Regional Hospital Česká Lípa Česká Lípa Czech Republic
Department of Neurology Regional Hospital Karlovy Vary Karlovy Vary Czech Republic
Department of Neurology Regional Hospital Kolín Kolín Czech Republic
Department of Neurology Regional Hospital Liberec Liberec Czech Republic
Department of Neurology Regional Hospital Náchod Náchod Czech Republic
Department of Neurology Regional Hospital Pardubice Pardubice Czech Republic
Department of Neurology Regional Hospital Uherské Hradiště Uherské Hradiště Czech Republic
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