Enzyme Replacement Therapy in Pregnant Women with Fabry Disease: A Case Series

JIMD Rep. 2019:45:77-81. doi: 10.1007/8904_2018_141. Epub 2018 Nov 8.

Abstract

Fabry disease is a rare inherited lysosomal storage disorder caused by the deficiency of the enzyme alpha-galactosidase A. There is uncertainty regarding the safety of enzyme replacement therapy during pregnancy. We describe the course and outcome of seven pregnancies in six patients with Fabry disease who continued or reinitiated enzyme replacement therapy during pregnancy. No adverse events, in both mothers and children, were observed.

Keywords: Breastfeeding; Enzyme replacement therapy; Fabry disease; Pregnancy; Safety.