Evidence map›Paper›PMID 39924243›Full record

ArticleInternal medicine (Tokyo, Japan)2025

Unexpected Hypotension in a Female Patient with Fabry Disease: Switching from Agalsidase α to β after Long-term ERT.

Takuya Sugiura, Reiko Muto, Tatsuaki Amano, Fumitaka Kamiya, Yuka Sato, Kayaho Maeda, Shoji Saito, Takayuki Katsuno, Noritoshi Kato, Michiko Higashi and 4 more

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Takuya SugiuraDepartment of Nephrology, Nagoya University Graduate School of Medicine, Japan.
Reiko MutoDepartment of Nephrology, Nagoya University Graduate School of Medicine, Japan.
Tatsuaki AmanoDepartment of Nephrology, Handa City Hospital, Japan.
Fumitaka KamiyaDepartment of Nephrology, Komaki City Hospital, Japan.
Yuka SatoDepartment of Nephrology, Nagoya University Graduate School of Medicine, Japan.
Kayaho MaedaDepartment of Nephrology, Nagoya University Graduate School of Medicine, Japan.
Shoji SaitoDepartment of Nephrology, Nagoya University Graduate School of Medicine, Japan.
Takayuki KatsunoDepartment of Nephrology and Rheumatology, Aichi Medical University Medical Center, Japan.
Noritoshi KatoDepartment of Nephrology, Nagoya University Graduate School of Medicine, Japan.
Michiko HigashiDepartment of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Japan.
Atsushi NumaguchiDepartment of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Japan.
Naoyuki MatsudaDepartment of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Japan.
Kazumitsu SugiuraDepartment of Dermatology, Fujita Health University School of Medicine, Japan.
Shoichi MaruyamaDepartment of Nephrology, Nagoya University Graduate School of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fabry disease is a rare X-linked lysosomal storage disorder. Enzyme replacement therapies (ERTs), such as agalsidase α and β, are available treatment options. While infusion-related reactions (IRRs) are known to occur at the initiation of ERT owing to immune responses, there is limited information on IRRs during long-term ERT. We report the case of a female patient with Fabry disease who developed unexpected hypotension after six years of stable treatment with agalsidase α, leading to a switch to agalsidase β. Continuous monitoring may be essential to identify potential IRRs in female patients with Fabry disease receiving long-term ERT.

Indexed as

alpha-GalactosidaseDrug SubstitutionEnzyme Replacement TherapyFabry DiseaseHypotensionFemaleHumansIsoenzymesMiddle AgedRecombinant ProteinsTime Factorsagalsidase alfaagalsidase betaalpha-GalactosidaseIsoenzymesRecombinant Proteinsenzyme replacement therapyFabry diseasefemaleinfusion-related reactions

Identifiers

PMID39924243
PMCPMC12393938

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.