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[埃勒斯-当洛综合征的最新分类及多学科症状]

[Up-to-date classification and multidisciplinary symptoms of Ehlers-Danlos syndromes].

作者信息

Ralovich Fanni Virág, Kiss Norbert, Horváth Krisztina, Kárpáti Sarolta, Medvecz Márta

机构信息

Bőr-, Nemikórtani és Bőronkológiai Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Üllői út 26., 1085.

MTA Wigner Fizikai Kutatóközpont Budapest.

出版信息

Orv Hetil. 2019 Apr;160(16):603-612. doi: 10.1556/650.2019.31351.

Abstract

In this review article, the authors summarize the clinical aspects of the novel classification of Ehlers-Danlos syndrome, which is a group of rare, hereditary connective tissue disorders. The leading symptom of the Ehlers-Danlos syndrome group is joint hypermobility, skin hyperextensibility and generalized tissue fragility. Ehlers-Danlos syndrome displays a high clinical and genetic heterogeneity and harbors many multidisciplinary properties. Certain subtypes only affect the quality of life, while other forms may lead to severe, even fatal vascular or intestinal complications. Last year, based on the data of various international genotype-phenotype correlation studies of large populations, a new classification of the syndrome's clinical subtypes was introduced. The novel international nosology of Ehlers-Danlos syndromes published in 2017 delineates 13 clinical subtypes, describes their genetic background and defines major and minor diagnostic criteria for each subtype. We gathered the complex, multidisciplinary symptoms of Ehlers-Danlos syndromes in a table to assist the diagnosis from a differential diagnostic point of view. In the clinical practice, the proper diagnosis of patients affected by the Ehlers-Danlos syndrome group is essential to give optimal clinical care and to prevent the development of severe complications. Orv Hetil. 2019; 160(16): 603-612.

摘要

在这篇综述文章中,作者总结了埃勒斯-当洛综合征新分类的临床方面,该综合征是一组罕见的遗传性结缔组织疾病。埃勒斯-当洛综合征组的主要症状是关节活动过度、皮肤过度伸展和全身组织脆弱。埃勒斯-当洛综合征表现出高度的临床和遗传异质性,并具有许多多学科特性。某些亚型仅影响生活质量,而其他形式可能导致严重甚至致命的血管或肠道并发症。去年,基于大量人群的各种国际基因型-表型相关性研究数据,引入了该综合征临床亚型的新分类。2017年发布的埃勒斯-当洛综合征新国际分类法划分了13种临床亚型,描述了它们的遗传背景,并为每种亚型定义了主要和次要诊断标准。我们将埃勒斯-当洛综合征的复杂多学科症状汇总在一张表格中,以便从鉴别诊断的角度辅助诊断。在临床实践中,正确诊断受埃勒斯-当洛综合征组影响的患者对于提供最佳临床护理和预防严重并发症的发生至关重要。《匈牙利医学周报》。2019年;160(16): 603 - 612。

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