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37yo♀️"chronic hand⚡" System review✔️ FHx✔️ no synovitis ⚗️✔️proteinuria 1g eGFR/crea✔️ 🔬mesangial IgA vacuol podocytes 🔑 neuropathic acroparesthesia❗(initially misinterpreted) angiokeratoma 🧬GLA mutat ◾Fabry dz 5yrs f/u: ACE proteinuria 0.3 https://