Mulberry Bodies: Fabry Disease

A 36-year-old man with lower-extremity edema, chronic proteinuria, and a 20-year history of progressively worsening burning pain in his extremities presented to our outpatient department. His family history included pain of the extremities and chronic proteinuria in his 2 older brothers. Physical examination revealed corneal opacities. Electrocardiogram showed left ventricular hypertrophy. The complete blood examination, including blood chemistry, was unremarkable. However, regular urinalysis tests showed proteinuria and characteristic β€œmulberry bodies,” consisting of fat with a whorl-like appearance in the urinary sediment (Figure).

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