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[法布里病患者的听力损失]

[Hearing loss in patients with Fabry disease].

作者信息

Limberger A, Beck M, Delgado-Sanchez S, Keilmann A

机构信息

Klinik für HNO und Kommunikationsstörungen, Universitätsklinik Mainz, Mainz.

出版信息

HNO. 2007 Mar;55(3):185-9. doi: 10.1007/s00106-006-1454-z.

DOI:10.1007/s00106-006-1454-z
PMID:17004069
Abstract

BACKGROUND

Fabry disease is an X-linked lysosomal storage disease involving deficient activity of alpha-galactosidase A, which leads initially to pain, and later to renal insufficiency, cardiomyopathy and stroke. Until now few details are available on hearing impairment in patients with Fabry disease, and especially few relating to female patients.

PATIENTS AND METHODS

We examined 43 female and 29 male patients. In this study we looked into the question of whether and to what extent patients of both genders are affected by hearing impairment.

RESULTS

Hearing loss is characteristic being more severe at high frequencies frequencies. Overall, 22 female and 15 male patients were found to have suffered a hearing loss. Patients with severe symptoms of Fabry disease usually demonstrate more prominent hearing losses.

CONCLUSIONS

Both men and women with Fabry disease are affected by hearing impairment. It seems that the hearing loss is less marked in female than in male patients. Children with Fabry disease complain of tinnitus more frequently than other children and quite early in the course of the disease.

摘要

背景

法布里病是一种X连锁溶酶体贮积病,由α-半乳糖苷酶A活性缺乏引起,最初导致疼痛,随后发展为肾功能不全、心肌病和中风。到目前为止,关于法布里病患者听力障碍的细节很少,尤其是女性患者。

患者与方法

我们检查了43名女性和29名男性患者。在本研究中,我们探讨了男女患者是否以及在何种程度上受到听力障碍影响的问题。

结果

听力损失具有高频更严重的特征。总体而言,发现22名女性和15名男性患者有听力损失。法布里病症状严重的患者通常表现出更明显的听力损失。

结论

法布里病男性和女性患者均受听力障碍影响。女性患者的听力损失似乎比男性患者轻。法布里病患儿比其他儿童更频繁地抱怨耳鸣,且在疾病过程中较早出现。

相似文献

1
[Hearing loss in patients with Fabry disease].[法布里病患者的听力损失]
HNO. 2007 Mar;55(3):185-9. doi: 10.1007/s00106-006-1454-z.
2
Characterization of vertigo and hearing loss in patients with Fabry disease.描述法布里病患者的眩晕和听力损失特征。
Orphanet J Rare Dis. 2018 Aug 15;13(1):137. doi: 10.1186/s13023-018-0882-7.
3
Hearing loss in Fabry disease: data from the Fabry Outcome Survey.法布里病中的听力损失:来自法布里病结局调查的数据。
Eur J Clin Invest. 2006 Sep;36(9):654-62. doi: 10.1111/j.1365-2362.2006.01702.x.
4
Ear symptoms in children with Fabry disease: data from the Fabry Outcome Survey.儿童法布瑞病的耳部症状:来自法布瑞病结局调查的数据。
J Inherit Metab Dis. 2009 Dec;32(6):739. doi: 10.1007/s10545-009-1290-x. Epub 2009 Oct 27.
5
[Guidelines for diagnosis, therapy and follow up of Anderson-Fabry disease].
Acta Med Croatica. 2014 Apr;68(2):223-32.
6
The hearing status in 12 female and 15 male Japanese Fabry patients.12名日本女性和15名日本男性法布里病患者的听力状况。
Auris Nasus Larynx. 2009 Dec;36(6):627-32. doi: 10.1016/j.anl.2009.01.001. Epub 2009 Mar 3.
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Neuropathic and cerebrovascular correlates of hearing loss in Fabry disease.法布里病听力损失的神经病变和脑血管相关性
Brain. 2007 Jan;130(Pt 1):143-50. doi: 10.1093/brain/awl310. Epub 2006 Nov 14.
8
Cochleovestibular manifestations in Fabry disease: Importance of screening and systematic ENT evaluation.法布里病的耳蜗前庭表现:筛查和系统耳鼻喉评估的重要性。
Eur Ann Otorhinolaryngol Head Neck Dis. 2019 Sep;136(4):273-279. doi: 10.1016/j.anorl.2019.04.014. Epub 2019 May 7.
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[Neuro-otological manifestations in Fabry disease-a retrospective single center study].[法布里病的神经耳科表现——一项回顾性单中心研究]
HNO. 2024 Jan;72(1):16-24. doi: 10.1007/s00106-023-01360-4. Epub 2023 Sep 25.
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Cardiac and renal dysfunction is associated with progressive hearing loss in patients with Fabry disease.心脏和肾脏功能障碍与法布里病患者的进行性听力损失有关。
PLoS One. 2017 Nov 21;12(11):e0188103. doi: 10.1371/journal.pone.0188103. eCollection 2017.

引用本文的文献

1
[Neuro-otological manifestations in Fabry disease-a retrospective single center study].[法布里病的神经耳科表现——一项回顾性单中心研究]
HNO. 2024 Jan;72(1):16-24. doi: 10.1007/s00106-023-01360-4. Epub 2023 Sep 25.
2
Characterization of vertigo and hearing loss in patients with Fabry disease.描述法布里病患者的眩晕和听力损失特征。
Orphanet J Rare Dis. 2018 Aug 15;13(1):137. doi: 10.1186/s13023-018-0882-7.
3
Cardiac and renal dysfunction is associated with progressive hearing loss in patients with Fabry disease.心脏和肾脏功能障碍与法布里病患者的进行性听力损失有关。

本文引用的文献

1
The Mainz Severity Score Index: a new instrument for quantifying the Anderson-Fabry disease phenotype, and the response of patients to enzyme replacement therapy.美因茨严重程度评分指数:一种用于量化安德森-法布里病表型以及患者对酶替代疗法反应的新工具。
Clin Genet. 2004 Apr;65(4):299-307. doi: 10.1111/j.1399-0004.2004.00219.x.
2
Fabry disease defined: baseline clinical manifestations of 366 patients in the Fabry Outcome Survey.法布里病的定义:法布里病结局调查中366例患者的基线临床表现。
Eur J Clin Invest. 2004 Mar;34(3):236-42. doi: 10.1111/j.1365-2362.2004.01309.x.
3
The molecular defect leading to Fabry disease: structure of human alpha-galactosidase.
PLoS One. 2017 Nov 21;12(11):e0188103. doi: 10.1371/journal.pone.0188103. eCollection 2017.
4
Hearing loss in children with Fabry disease.儿童法布里病的听力损失。
J Inherit Metab Dis. 2017 Sep;40(5):725-731. doi: 10.1007/s10545-017-0051-5. Epub 2017 May 31.
5
Ear symptoms in children with Fabry disease: data from the Fabry Outcome Survey.儿童法布瑞病的耳部症状:来自法布瑞病结局调查的数据。
J Inherit Metab Dis. 2009 Dec;32(6):739. doi: 10.1007/s10545-009-1290-x. Epub 2009 Oct 27.
6
The pulvinar sign: frequency and clinical correlations in Fabry disease.丘脑枕征:法布里病的发生率及其临床关联
J Neurol. 2008 May;255(5):738-44. doi: 10.1007/s00415-008-0786-x. Epub 2008 Feb 26.
导致法布里病的分子缺陷:人α-半乳糖苷酶的结构
J Mol Biol. 2004 Mar 19;337(2):319-35. doi: 10.1016/j.jmb.2004.01.035.
4
Auditory and vestibular findings in Fabry disease: a study of hemizygous males and heterozygous females.法布里病的听觉和前庭表现:对半合子男性和杂合子女性的一项研究。
Acta Paediatr Suppl. 2003 Dec;92(443):33-7; discussion 27. doi: 10.1111/j.1651-2227.2003.tb00219.x.
5
Inner ear function in children with Fabry disease.法布里病患儿的内耳功能
Acta Paediatr Suppl. 2003 Dec;92(443):31-2; discussion 27. doi: 10.1111/j.1651-2227.2003.tb00218.x.
6
Hearing loss in Fabry disease: the effect of agalsidase alfa replacement therapy.法布里病中的听力损失:阿加糖酶α替代疗法的效果
J Inherit Metab Dis. 2003;26(8):787-94. doi: 10.1023/B:BOLI.0000009948.86528.72.
7
Anderson-Fabry disease: clinical manifestations and impact of disease in a cohort of 98 hemizygous males.安德森-法布里病:98例半合子男性患者队列中的临床表现及疾病影响
J Med Genet. 2001 Nov;38(11):750-60. doi: 10.1136/jmg.38.11.750.
8
Hearing evaluation with distortion-product otoacoustic emissions in young patients undergoing haemodialysis.在接受血液透析的年轻患者中使用畸变产物耳声发射进行听力评估。
Clin Otolaryngol Allied Sci. 2001 Jun;26(3):235-42. doi: 10.1046/j.0307-7772.2001.00464.x.
9
Otologic histopathology of Fabry's disease.
Ann Otol Rhinol Laryngol. 1989 May;98(5 Pt 1):359-63. doi: 10.1177/000348948909800509.