Fabry's Disease and Pregnancy (PREFAB)
Study Details
Study Description
Brief Summary
Fabry's disease is a progressive systemic disease X-linked which combines neurological (Fabry's pain crises), dermatologic (angiokeratomas), renal (renal failure), cardiovascular (hypertrophic cardiomyopathy, valvular disease, conduction disorder, coronary heart disease) and cerebral vascular (stroke) symptoms .
It is a glycosphingolipid metabolism disorder due to deficient or absent activity of the alpha-galactosidase A, causing accumulation of globotriaosylceramide in the lysosomes.
The incidence is estimated being 1/40 000. Some patients suffering from Fabry's disease today are of childbearing age and their multidisciplinary care (by neurologists, obstetricians and anesthetists) raises several questions.
About the anesthetic, the question of epidural block is debated in patients with neurological diseases and recommendations are not unequivocal.
Indeed one of the problems of the management in those conditions is the potential worsening of the disease because of the anesthetic procedure. In addition, the possibility of an antiplatelet and / or an anticoagulant treatment in these patients may also contre-indicate an epidural block.
The rate of epidural block achieved in patients with Fabry's disease is not currently known. Moreover, only sparse data on pregnancy outcomes in these patients are reported.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
- Proportion of Fabry's disease patients having had an epidural block in childbirth. [The duration of the interview for this study with women with Fabry disease's will be one hour]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Fabry's disease patients, aged 18 years or more, having had at least one childbirth
Exclusion Criteria:
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Patient under a legal protection procedure
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Patient denying to participate to the study
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Lack of affiliation to a social security system
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Groupe hospitalier Diaconesses Croix Saint Simon | Paris | Ile De France | France | 75020 |
Sponsors and Collaborators
- Groupe Hospitalier Diaconesses Croix Saint-Simon
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- OLE_2015_4