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CASE REPORT

Fabry disease and general anesthesia: A case report and literature review


1 Taipei Medical University, Division of General Surgery, Tri Service General Hospital and National Defense Medical Center, Kaohsiung, Taiwan
2 Department of Anesthesiology, Division of General Surgery, Tri Service General Hospital and National Defense Medical Center; Department of Surgery, Division of Anesthesiology, Gangshan Branch, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan
3 Department of Anesthesiology, Division of General Surgery, Tri Service General Hospital and National Defense Medical Center, Kaohsiung, Taiwan
4 Department of Surgery, Division of General Surgery, Tri Service General Hospital and National Defense Medical Center, Kaohsiung, Taiwan
5 Department of Anesthesiology, Division of General Surgery, Tri Service General Hospital and National Defense Medical Center, Kaohsiung; Department of Anesthesiology, Chi Mei Medical Center, Yongkang District, Tainan, Taiwan, ROC, Taiwan

Correspondence Address:
Zhi-Fu Wu,
Department of Anesthesiology, Chi Mei Medical Center, No. 901, Zhonghua Road, Yongkang District 71004, Tainan
Taiwan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_26_19

Fabry disease (FD) is an X-linked lysosomal storage disease. FD presents with a variety of symptoms such as corneal clouding, reduced sweating, abdominal pain, neuropathic pain, angiokeratoma, sleep-disordered breathing, renal failure, cardiovascular diseases, and stroke. Severe organ damage may occur, and its gravity differs between individuals, usually being more serious in males and elders. According to previous reports, possible complications include hypertension, hypotension, bronchospasm, and intubation difficulty. Therefore, identifying FD patients carefully and performing detailed preoperative assessments, such as for cardiovascular, pulmonary, and renal functions, are both critical to increasing the chances of a positive treatment outcome. Advanced hemodynamic monitoring was recommended to prevent severe cardiovascular and respiratory impairment during surgery of advanced FD patients. To the best of our knowledge, there are only four reports on FD treatment, none being from Taiwan. Here, we report on a case of FD treatment undergoing general anesthesia in Taiwan and provide a literature review.


 

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