Tuesday, December 13, 2011

Marfan Syndrome




Causes





  • Caused by a mutation in the FBN1 gene on chromosome 15


  • Inherited in families-autosomal dominant


Symptoms





  • Vaired among people


  • Can range from mild to severe


  • Weak connective tissues in the heart, skeleton, eyes, and other organs


  • Aorta may be larger


  • Spine may be curved


  • Eye lense might become dislocated


  • Loose joints


  • Chest bone may bend in or out


  • Bone overgrowth-long, thin arms and legs


Diagnosis





  1. Dilatated or dissected aorta


  2. Dislocated eye lense


  3. Lumbosacral dural ectasia- CT scan or MRI


  4. At least four skeletal features of the disease

  5. Close relative has the disease


Treatments




  • Eyeglasses


  • Artificial eye lense-surgery


  • Arch supports/Orthotics


  • Surgery for skeletal problems


  • Medication to decrease stress on the aorta


  • Surgery to repair the aorta


  • Blood pressure medication


  • Avoid competitive sports, isometric and statis exercise, certain medications, and caffeine


Prevalence





  • Both sexes


  • All ethnicities


  • Rare-about 1 in 10,000


Life Expectancy





  • Early to mid 70s if treated


  • In the 40s if not treated

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