{"id":135,"date":"2026-03-26T12:43:18","date_gmt":"2026-03-26T12:43:18","guid":{"rendered":"https:\/\/shespeaxx.com\/?page_id=135"},"modified":"2026-04-01T15:38:24","modified_gmt":"2026-04-01T15:38:24","slug":"la-malattia-di-fabry","status":"publish","type":"page","link":"https:\/\/shespeaxx.com\/index.php\/la-malattia-di-fabry\/","title":{"rendered":"La malattia di Fabry nella donna"},"content":{"rendered":"\n<div class=\"wp-block-group alignfull is-style-section-2 has-accent-4-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained is-style-section-2--1\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--60);padding-bottom:var(--wp--preset--spacing--60)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-643ced6b wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/cropped-Logo_She-Speaxx_XX.png\" alt=\"\" class=\"wp-image-47\" srcset=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/cropped-Logo_She-Speaxx_XX.png 512w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/cropped-Logo_She-Speaxx_XX-300x300.png 300w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/cropped-Logo_She-Speaxx_XX-150x150.png 150w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/cropped-Logo_She-Speaxx_XX-270x270.png 270w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/cropped-Logo_She-Speaxx_XX-192x192.png 192w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/cropped-Logo_She-Speaxx_XX-180x180.png 180w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/cropped-Logo_She-Speaxx_XX-32x32.png 32w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-container-core-column-is-layout-119bc444 wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<h2 class=\"wp-block-heading has-xx-large-font-size\">La malattia di Fabry<\/h2>\n\n\n\n<p class=\"has-base-color has-text-color has-link-color has-small-font-size wp-elements-5b52e9e2f603b51d4082de7258c60feb\">La Malattia di Fabry \u00e8 una patologia genetica rara legata al cromosoma X, causata da mutazioni del gene GLA.<sup>1,2<\/sup><br>Determina un deficit dell\u2019enzima \u03b1-galattosidasi A, con accumulo di globotriaosilceramide (Gb3) nei lisosomi cellulari.<sup>2<\/sup><br><br>Colpisce vari organi, in particolare rene, cuore e sistema nervoso, con manifestazioni progressive multisistemiche.<br>\u00c8 classificata tra le malattie da accumulo lisosomiale e pu\u00f2 essere trattata con terapia enzimatica sostitutiva o chaperoni farmacologici.<sup>4<\/sup><br><br>Se ne riconoscono due tipi: classica (severa, pi\u00f9 frequente negli uomini) e atipica (pi\u00f9 lieve, limitata a un solo organo).<sup>3<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-style-section-5 has-accent-1-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained is-style-section-5--2\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-7ee84d44 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<h2 class=\"wp-block-heading has-base-color has-text-color has-link-color has-xx-large-font-size wp-elements-2e5901334a6bf820045142159c9ffc3d\">Malattia di Fabry nelle donne<\/h2>\n\n\n\n<p class=\"has-small-font-size\">Fino a qualche anno fa le donne venivano considerate come portatrici sane della patologia<sup>4<\/sup>, in quanto eterozigoti, oggi \u00e8 noto che circa l\u201980% dei soggetti di sesso femminile possono presentare sintomi o segni della malattia.<sup>5<\/sup><br><br>Nelle donne, i sintomi insorgono mediamente pi\u00f9 tardi rispetto agli uomini (13 vs 9 anni) e la diagnosi viene formulata con un ritardo medio di circa 20 anni, spesso a causa di iniziali errori diagnostici.<sup>5<\/sup><br><br>Le pazienti dovrebbero essere valutate e monitorate in modo analogo a quanto raccomandato per gli uomini (ovvero una valutazione iniziale completa seguita da controlli annuali), sebbene per le donne asintomatiche si possano prendere in considerazione intervalli pi\u00f9 lunghi tra un controllo e l&#8217;altro.<sup>6<\/sup><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"2533\" height=\"2560\" src=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Donna-1-scaled.png\" alt=\"\" class=\"wp-image-115\" style=\"aspect-ratio:1;object-fit:cover;width:507px;height:auto\" srcset=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Donna-1-scaled.png 2533w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Donna-1-297x300.png 297w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Donna-1-1013x1024.png 1013w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Donna-1-768x776.png 768w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Donna-1-1520x1536.png 1520w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Donna-1-2026x2048.png 2026w\" sizes=\"auto, (max-width: 2533px) 100vw, 2533px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<aside class=\"wp-block-group alignfull is-style-section-3 has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-f0f2a97b wp-block-group-is-layout-constrained is-style-section-3--3\" style=\"background-color:#b8166a30;margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--50);padding-right:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50);padding-left:var(--wp--preset--spacing--50)\">\n<figure class=\"wp-block-image aligncenter size-large is-resized has-custom-border\" style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0\"><img loading=\"lazy\" decoding=\"async\" width=\"1013\" height=\"1024\" src=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Attenzione_diagnosi-1013x1024.png\" alt=\"\" class=\"wp-image-145\" style=\"border-style:none;border-width:0px;aspect-ratio:0.989276398415612;width:223px;height:auto\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center has-accent-1-color has-text-color has-link-color has-medium-font-size wp-elements-fae8b3c428dbe0777d7a69cd488cfdff\" style=\"font-style:normal;font-weight:700\">Effettuare controlli regolari \u00e8 essenziale per riconoscere precocemente i segnali della malattia e limitare la comparsa di complicanze a carico degli organi.\u2076<\/p>\n<\/aside>\n\n\n\n<div class=\"wp-block-group alignfull is-style-section-5 has-accent-1-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained is-style-section-5--4\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-7ee84d44 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"2533\" height=\"2560\" src=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Procreazione-scaled.png\" alt=\"\" class=\"wp-image-168\" style=\"aspect-ratio:1;object-fit:cover;width:420px;height:auto\" srcset=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Procreazione-scaled.png 2533w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Procreazione-297x300.png 297w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Procreazione-1013x1024.png 1013w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Procreazione-768x776.png 768w\" sizes=\"auto, (max-width: 2533px) 100vw, 2533px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<h2 class=\"wp-block-heading has-base-color has-text-color has-link-color has-xx-large-font-size wp-elements-9ebb72d2499032eb70039d8c92967210\">Aspetti relativi alla procreazione<\/h2>\n\n\n\n<p class=\"has-small-font-size\">In presenza di un sospetto diagnostico di malattia di Fabry, la gravidanza rappresenta un elemento di particolare rilevanza clinica. La gestante e il partner dovrebbero pertanto essere indirizzati a consulenza genetica, al fine di valutare l\u2019opportunit\u00e0 di eseguire una diagnosi prenatale sul nascituro.<sup>5<\/sup><br><br>Le madri affette hanno il 50% di probabilit\u00e0 di trasmettere la malattia ai loro figli, sia maschi che femmine.<sup>2<\/sup><br>Sia i figli maschi sia le figlie femmine che ereditano il gene difettoso saranno considerati affetti. Nel maschio generalmente le manifestazioni sono pi\u00f9 gravi e precoci, mentre nei soggetti di sesso femminile le manifestazioni possono variare anche all\u2019interno dello stesso nucleo familiare.<sup>2<\/sup><br><br>I familiari non ancora identificati possono essere individuati in una fase precoce della malattia attraverso lo screening della mutazione tra i membri della famiglia.<sup>2<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-style-section-2 has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained is-style-section-2--5\" style=\"background-color:#b8166a1f;margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-7ee84d44 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-fe9cc265 wp-block-group-is-layout-flex\">\n<h2 class=\"wp-block-heading has-accent-1-color has-text-color has-link-color has-xx-large-font-size wp-elements-153f46e9f69058ff8a42e1b90b443c7e\">Diagnosi<\/h2>\n\n\n\n<p class=\"has-contrast-color has-text-color has-link-color has-small-font-size wp-elements-3241afbb43e61d61cbc5880aa76df054\">Poich\u00e9 molti pazienti ricevono inizialmente una diagnosi errata, possono passare pi\u00f9 di 10 anni dalla insorgenza della sintomatologia alla identificazione della malattia.<sup>2<\/sup><br><br>Se, dopo anamnesi accurata, esame obiettivo, test di laboratorio e tecniche di imaging si sospetta la malattia, la diagnosi deve essere confermata dall&#8217;analisi dell&#8217;attivit\u00e0 dell\u2019enzima \u03b1-galattosidasi A e, in particolare nelle donne, dall&#8217;analisi molecolare.<sup>2<\/sup><br><br>La diagnosi di malattia di Fabry in un soggetto implica un&#8217;elevata probabilit\u00e0 che altri componenti della sua famiglia siano affetti dalla stessa condizione. \u00c8 quindi opportuno comunicare loro che potrebbero essere portatori del gene mutato.<sup>7<\/sup><\/p>\n<\/div>\n\n\n\n<p class=\"is-style-text-annotation has-accent-1-color has-base-background-color has-text-color has-background has-link-color has-small-font-size wp-elements-2d3973a594c58b0735c92aa7c9de6e86 is-style-text-annotation--6\" style=\"font-style:normal;font-weight:700\">La DIAGNOSI PRECOCE e l&#8217;inizio del trattamento devono<br>essere effettuati il prima possibile, sia per ridurre i sintomi sia<br>per rallentare lo sviluppo della malattia.<sup>8<\/sup><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1013\" height=\"1024\" src=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Diagnosi-2-1013x1024.png\" alt=\"\" class=\"wp-image-143\" srcset=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Diagnosi-2-1013x1024.png 1013w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Diagnosi-2-297x300.png 297w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Diagnosi-2-768x776.png 768w\" sizes=\"auto, (max-width: 1013px) 100vw, 1013px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-style-section-2 has-accent-4-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained is-style-section-2--7\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--60);padding-bottom:var(--wp--preset--spacing--60)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-643ced6b wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<h2 class=\"wp-block-heading has-xx-large-font-size\">Sintomatologia<\/h2>\n\n\n\n<p class=\"has-base-color has-text-color has-link-color has-small-font-size wp-elements-f7e926691b525e01af1eaa89ef9a26f9\">Nelle donne, i sintomi possono essere molto diversi per intensit\u00e0 (da lievi a severi) e comunque simili a quelli osservati negli uomini. L\u2019esordio e lo sviluppo delle complicanze tendono tuttavia a manifestarsi pi\u00f9 tardivamente rispetto agli uomini.<sup>2<\/sup><br><br>Nelle donne, le principali manifestazioni iniziali comprendono formicolio a mani e piedi, disturbi gastrointestinali, ridotta sudorazione, opacit\u00e0 della cornea e, anche se meno frequentemente, lesioni cutanee vascolari localizzate principalmente sul seno, sulle labbra e sul tronco.<sup>2<\/sup><\/p>\n\n\n\n<p class=\"is-style-text-annotation has-base-color has-accent-4-background-color has-text-color has-background has-link-color has-small-font-size wp-elements-6e3e9d5a2e35a3f21f096213b9b9cb5a is-style-text-annotation--8\"><strong>Se i suddetti segni e sintomi compaiono per la prima volta, oppure se la loro frequenza o intensit\u00e0 sta peggiorando, \u00e8 necessario consultare il proprio medico curante.<br>Egli sar\u00e0 in grado di fornire la soluzione migliore per gestire la malattia.<sup>10<\/sup><\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-container-core-column-is-layout-119bc444 wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/04\/Sintomatologia-2.png\" alt=\"\" class=\"wp-image-289\"\/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-style-section-5 has-accent-1-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained is-style-section-5--9\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-7ee84d44 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-style-default is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<h2 class=\"wp-block-heading has-text-align-left has-base-color has-text-color has-link-color has-xx-large-font-size wp-elements-f3428ede17db90b80fc145f3628dca48\">Percorso durante la malattia<\/h2>\n\n\n\n<p class=\"has-text-align-left has-small-font-size\">Il percorso della paziente con malattia di Fabry varia a seconda dell\u2019et\u00e0 di insorgenza della malattia e della sua gravit\u00e0 (la classica \u00e8 pi\u00f9 grave e precoce, la atipica pi\u00f9 lieve e tardiva).<sup>1<\/sup><br>Tale eterogeneit\u00e0 del decorso clinico \u00e8 riscontrabile anche tra soggetti appartenenti allo stesso nucleo familiare e portatori della medesima mutazione.<sup>1<\/sup> Di conseguenza, il profilo clinico-evolutivo di ciascuna paziente \u00e8 da considerarsi peculiare.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-style-section-2 has-base-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained is-style-section-2--10\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-7ee84d44 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"2110\" src=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Nuvolette-scaled.png\" alt=\"\" class=\"wp-image-178\" srcset=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Nuvolette-scaled.png 2560w, https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Nuvolette-300x247.png 300w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.67%\">\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-fe9cc265 wp-block-group-is-layout-flex\">\n<h2 class=\"wp-block-heading has-accent-1-color has-text-color has-link-color has-xx-large-font-size wp-elements-13371b821d22f5026429c73bc53f394e\">Parlare della malattia di Fabry<\/h2>\n\n\n\n<p class=\"has-contrast-color has-text-color has-link-color has-small-font-size wp-elements-eb81fee27852eec1bb1ef955b8c14b36\">Nelle pazienti con malattia di Fabry, la patologia pu\u00f2 determinare un notevole carico fisico ed emotivo, con effetti estesi anche al nucleo familiare. Dopo la diagnosi, \u00e8 quindi molto importante il confronto con un medico genetista o con uno specialista nelle malattie da accumulo lisosomiale, per aiutare la paziente e chi la assiste a capire meglio la malattia.\u2076<br>La consulenza preconcezionale e prenatale dovrebbe essere offerta a tutte le donne in et\u00e0 fertile, quale componente essenziale della gestione multidisciplinare della malattia.\u2076<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-style-section-5 has-accent-4-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained is-style-section-5--11\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-7ee84d44 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-style-default is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<h2 class=\"wp-block-heading has-text-align-left has-accent-1-color has-text-color has-link-color has-xx-large-font-size wp-elements-430b2b4f0372a9f5877d6a2cba84a6f8\">Prendersi cura del proprio benessere<\/h2>\n\n\n\n<p class=\"has-text-align-left has-small-font-size\">Alcune pazienti affermano che la diagnosi precoce abbia comportato anche la perdita di una vita serena e una maggiore preoccupazione per il futuro.<sup>6<\/sup><br>In taluni casi risulta pertanto opportuno rivolgersi a uno psicologo per affrontare le questioni psicosociali che possono sorgere a seguito di una diagnosi di Fabry:<sup>6<\/sup><\/p>\n\n\n\n<ul class=\"wp-block-list has-small-font-size\">\n<li>ansia relativa alla progressione della malattia<\/li>\n\n\n\n<li>senso di colpa legato alla possibilit\u00e0 di trasmetterla ai figli<\/li>\n\n\n\n<li>rifiuto di accettarne la progressione<\/li>\n\n\n\n<li>altre emozioni intense quali rabbia, dolore, disperazione<\/li>\n\n\n\n<li>ripercussioni sull\u2019autostima e sull\u2019identit\u00e0 personale<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-left is-style-text-annotation has-accent-1-color has-text-color has-link-color has-small-font-size wp-elements-f42745bdf75f46cd9399245c8bcc5607 is-style-text-annotation--12\" style=\"font-style:normal;font-weight:700\">Poich\u00e9 i sintomi della malattia di Fabry variano notevolmente da persona a persona, \u00e8 importante prestare attenzione a qualsiasi cambiamento si manifesti nel proprio corpo e comunicarlo al proprio medico il giorno della visita, anche se i sintomi non sono presenti in quell\u2019occasione.<sup>11<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-style-section-5 has-base-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained is-style-section-5--13\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-7ee84d44 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/shespeaxx.com\/wp-content\/uploads\/2026\/03\/Team-multidisciplinare-1.png\" alt=\"\" class=\"wp-image-242\" style=\"aspect-ratio:4\/3;object-fit:cover\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<h2 class=\"wp-block-heading has-accent-1-color has-text-color has-link-color has-xx-large-font-size wp-elements-cc4a9a6d0f0da2942bc38ad43c2e00eb\">Ruolo del team multidisciplinare<\/h2>\n\n\n\n<p class=\"has-contrast-color has-text-color has-link-color has-small-font-size wp-elements-e46d3c4734fb7c4c705a6b82bddd2683\">Quando si riceve la diagnosi di malattia di Fabry \u00e8 importante che la gestione dei diversi aspetti della patologia venga affidata a medici esperti in grado di<br>coordinarsi con altri specialisti per una presa in carico completa e funzionale.<sup>12<\/sup><br><br>Ricordiamo infatti che la carenza dell\u2019enzima \u03b1-galattosidasi A porta all\u2019accumulo di una particolare sostanza causa di malattia multisistemica, che richiede pertanto la consulenza di diverse figure professionali in ambito sanitario (vedi figura).<sup>3<\/sup><br><br>Il trattamento e le successive valutazioni, volte a valutare la risposta terapeutica, saranno quindi supervisionati da un medico esperto, avvalendosi del contributo di specialisti che abbiano anch\u2019essi esperienza in materia.<sup>6<\/sup><\/p>\n\n\n\n<p class=\"has-small-font-size\"><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group alignfull is-style-section-5 has-accent-1-background-color has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained is-style-section-5--14\" style=\"margin-top:0;margin-bottom:var(--wp--preset--spacing--40);padding-top:var(--wp--preset--spacing--50);padding-bottom:var(--wp--preset--spacing--50)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-7ee84d44 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-style-default is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<h2 class=\"wp-block-heading has-text-align-left has-base-color has-text-color has-link-color has-xx-large-font-size wp-elements-b80f92f99eed739624adfdcfaf5f2072\">Collaborazione tra medico e paziente<\/h2>\n\n\n\n<p class=\"has-text-align-left has-small-font-size\">Con il progredire della malattia potrebbero manifestarsi nuovi sintomi o quelli esistenti potrebbero aggravarsi.<sup>12<\/sup> Nel caso in cui dovessero presentarsi pi\u00f9 intensi o pi\u00f9 frequenti, \u00e8 necessario rivolgersi al proprio medico, in modo da poter stabilire quali strategie siano pi\u00f9 adatte al caso specifico.<sup>12<\/sup><br>La tempestiva segnalazione della comparsa o dell&#8217;aggravarsi dei sintomi consentir\u00e0 al medico di gestirli al meglio.<sup>12<\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:56px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p style=\"font-size:0.8rem\">1. Desnick RJ et al. Fabry Disease, an Under-Recognized Multisystemic Disorder: Expert Recommendations for Diagnosis, Management, and Enzyme Replacement Therapy. Ann Intern Med 2003;138(4):338-46. doi: 10.7326\/0003-4819-138-4-200302180-00014.<\/p>\n\n\n\n<p style=\"font-size:0.8rem\">2. Martins AM et al. Guidelines&nbsp; to&nbsp; Diagnosis&nbsp; and&nbsp; Monitoring&nbsp; of&nbsp; Fabry&nbsp; Disease&nbsp; and&nbsp; Review&nbsp; of Treatment&nbsp; Experiences. J Pediatr 2009;155(Suppl 4):S19-31.&nbsp; doi: 10.1016\/j.jpeds.2009.07.003<\/p>\n\n\n\n<p style=\"font-size:0.8rem\">3. Arends M et al. Characterization of Classical and Nonclassical Fabry Disease: A Multicenter Study. J Am Soc Nephrol 2016;28(5):1631\u20131641. doi:10.1681\/ASN.2016090964<\/p>\n\n\n\n<p style=\"font-size:0.8rem\">4. Germain DP. Fabry disease. Orphanet J Rare Dis. 2010;5:30. doi: 10.1186\/1750-1172-5-30<\/p>\n\n\n\n<p style=\"font-size:0.8rem\">5. Women living with Fabry disease take a much different journey. In <a href=\"https:\/\/rethinkfabry.com\/changing-how-we-think\">https:\/\/rethinkfabry.com\/changing-how-we-think#women-living-with-fabry-disease<\/a><\/p>\n\n\n\n<p style=\"font-size:0.8rem\">6. Ortiz et al. Fabry&nbsp; disease&nbsp; revisited:&nbsp; Management&nbsp; and&nbsp; treatment&nbsp; recommendations&nbsp; for adult&nbsp; patients. Molecular Genetics and Metabolism 2018;123:416\u2013427<\/p>\n\n\n\n<p style=\"font-size:0.8rem\">7. Who in your family could have Fabry? <a href=\"https:\/\/rethinkfabry.com\/changing-how-we-think\">In https:\/\/rethinkfabry.com\/changing-how-we-think#who-in-your-family<\/a><\/p>\n\n\n\n<p style=\"font-size:0.8rem\">8. Soaring new possibilities in Fabry disease. In <a href=\"https:\/\/rethinkfabry.com\/\">https:\/\/rethinkfabry.com\/#video-banner-tiles<\/a><\/p>\n\n\n\n<p style=\"font-size:0.8rem\">9. Fabry disease can cause challenges even when it\u2019s considered under control. In <a href=\"https:\/\/rethinkfabry.com\/the-hidden-impact\">https:\/\/rethinkfabry.com\/the-hidden-impact#fabry-disease-challenges<\/a><\/p>\n\n\n\n<p style=\"font-size:0.8rem\">10. Keeping track of symptoms. In <a href=\"https:\/\/rethinkfabry.com\/the-hidden-impact\">https:\/\/rethinkfabry.com\/the-hidden-impact#what-you-can-do<\/a><\/p>\n\n\n\n<p style=\"font-size:0.8rem\">11. Keep track of your Fabry symptomsand take charge of your health. In <a href=\"https:\/\/rethinkfabry.com\/taking-action\">https:\/\/rethinkfabry.com\/taking-action#track-symptoms<\/a><\/p>\n\n\n\n<p style=\"font-size:0.8rem\">12. Working with your care team proactively. In <a href=\"https:\/\/rethinkfabry.com\/taking-action\">https:\/\/rethinkfabry.com\/taking-action#care-team<\/a><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>La malattia di Fabry La Malattia di Fabry \u00e8 una patologia genetica rara legata al cromosoma X, causata da mutazioni del gene GLA.1,2Determina un deficit dell\u2019enzima \u03b1-galattosidasi A, con accumulo di globotriaosilceramide (Gb3) nei lisosomi cellulari.2 Colpisce vari organi, in particolare rene, cuore e sistema nervoso, con manifestazioni progressive multisistemiche.\u00c8 classificata tra le malattie da [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-no-title","meta":{"footnotes":""},"class_list":["post-135","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/shespeaxx.com\/index.php\/wp-json\/wp\/v2\/pages\/135","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shespeaxx.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/shespeaxx.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/shespeaxx.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/shespeaxx.com\/index.php\/wp-json\/wp\/v2\/comments?post=135"}],"version-history":[{"count":41,"href":"https:\/\/shespeaxx.com\/index.php\/wp-json\/wp\/v2\/pages\/135\/revisions"}],"predecessor-version":[{"id":290,"href":"https:\/\/shespeaxx.com\/index.php\/wp-json\/wp\/v2\/pages\/135\/revisions\/290"}],"wp:attachment":[{"href":"https:\/\/shespeaxx.com\/index.php\/wp-json\/wp\/v2\/media?parent=135"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}