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Day 1: Patient Experiences
1. CORD June 8 – 9, 2022
Canada's Rare Drug Strategy
Conference
Fabry Disease - Case Study
Adrian & Marlene
Koning
Edmonton, AB
2. Fabry Disease
• X-linked Life Threatening LSD caused by a
Deficiency of Enzyme alpha-GAL ➔
accumulation GL-3 in all cells and tissues
• Ultra orphan disease - 1 in 40,000 to 117,000
• Diagnosis difficult ➔ average 17 years
• Me: 43 with total kidney failure Jan. 2001
• Life expectancy for males - between 40-50
• Koning family: 32 to 48!
3. Fabry Disease - Symptoms
• Extreme Pain in Hands and Feet
• Angiocharatomas
• Gastrointestinal Malabsorption
• Heart Failure
• Stroke, Hearing Loss & Vertigo
• No Sweating & Intolerant Temp Δ
• Kidney Failure
4. Treatment Available 20+ years
• Enzyme Replacement Therapy
• Replagal™ (agalsidase alfa @ 2.0mg/kg)
• Fabrazyme™ (agalsidase beta @1.0mg/kg)
• Start treatment May 2001
• Why 20+ years this issue is not resolved?
• Science proves its effectiveness!
• Should have been dead at 50! 64 on 06/12