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[埃勒斯-当洛综合征——自发性气胸的罕见病因]

[Ehlers-Danlos syndrome - a rare cause of spontaneous pneumothorax].

作者信息

Lopes Carlos, Manique Alda, Sotto-Mayor Renato, Cruz Jorge, Mendes de Almeida Margarida, Cravino João, Bugalho de Almeida A

机构信息

Serviço de Pneumologia, Hospital de Santa Maria, Lisboa, Portugal.

出版信息

Rev Port Pneumol. 2006 Jul-Aug;12(4):471-80. doi: 10.1016/s0873-2159(15)30446-3.

Abstract

Ehlers-Danlos syndrome (cutis hyperelastica), is a group of connective tissue disorders characterized by abnormalities of the skin, ligaments and internal organs. It is a hereditary syndrome, usually with autossomal dominant inheritance; that primarily affects the collagen synthesis. The skin and blood vessels are extremely fragile and elastic. The skin is soft with rubber consistency and easily bruising. There are hypermobile joints with increased extensibility. We summarize the case of a sixteen year old boy with a history of joint hypermobility since childhood and splenic fracture that was diagnosed with Ehlers-Danlos syndrome after the occurrence of recidivant spontaneous pneumothorax. We present the most common pulmonary complications of Ehlers-Danlos syndrome and discuss the importance of not forgetting the least commons etiologies of pneumothorax, in cases of spontaneous pneumothorax.

摘要

埃勒斯-当洛综合征(皮肤弹性过度症)是一组结缔组织疾病,其特征为皮肤、韧带和内脏器官异常。它是一种遗传性综合征,通常为常染色体显性遗传,主要影响胶原蛋白合成。皮肤和血管极其脆弱且有弹性。皮肤柔软,有橡胶般的质地,容易出现瘀伤。关节活动过度,伸展性增加。我们总结了一名16岁男孩的病例,该男孩自幼有关节活动过度病史,脾脏骨折,在反复发生自发性气胸后被诊断为埃勒斯-当洛综合征。我们介绍了埃勒斯-当洛综合征最常见的肺部并发症,并讨论了在自发性气胸病例中不忘考虑气胸最不常见病因的重要性。

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