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We also seek to identify pertinent questions that are ripe for future investigation.Objective To analyze the clinical features and efficacy of enzyme replacement therapy in 4 children with Fabry disease. Methods A retrospective analysis of the clinical manifestations, laboratory findings, genetic variations and treatment were conducted in 4 children with Fabry disease in Children's Hospital of Zhejiang University School of Medicine from January 2014 to July 2020. Results All four children (2 males, 2 females) with onset age of 12.4 (6.0