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变形综合征:成人病房中的罕见病例。

Proteus Syndrome: A Rare Case in An Adult Ward.

作者信息

Duarte Santos Catarina, Lizardo Grácio Rita, Costa Pires Tatiana, Gonzalez Santos Miguel, Rodrigues Rita J, Magalhães Miriam, Mota Ponte Alcina

机构信息

Department of Internal Medicine, Centro Hospitalar de Leiria, Leiria, Portugal.

出版信息

Eur J Case Rep Intern Med. 2021 Apr 28;8(4):002554. doi: 10.12890/2021_002554. eCollection 2021.

Abstract

UNLABELLED

Proteus syndrome is an extremely rare disorder that manifests as an asymmetric, disproportionate overgrowth of any connective tissue, such as bone, fat or epidermal nevi, in a mosaic or patchy pattern. It has an estimated prevalence of less than 1/1,000,000 live births. The diagnosis can be difficult because the phenotypes of the patients are variable. Many individuals develop cutaneous capillary malformation and prominent varicosities (large and complex vascular malformations). Thus, Proteus syndrome patients are at risk of developing deep vein thrombosis and pulmonary embolism. The authors present the case of a patient with Proteus syndrome who was admitted because of pulmonary thromboembolism and presented hypertrophy of the left arm and left hemithorax.

LEARNING POINTS

Proteus syndrome is an extremely rare disorder that manifests as an asymmetric, disproportionate overgrowth of any connective tissue.The diagnosis can be difficult because the phenotypes are variable.It is important to keep in mind the importance of anticoagulation because patients are at risk of developing deep vein thrombosis and pulmonary embolism.

摘要

未标注

变形综合征是一种极其罕见的疾病,表现为任何结缔组织如骨骼、脂肪或表皮痣以镶嵌或斑片状模式出现不对称、不成比例的过度生长。据估计,其在活产婴儿中的患病率低于1/1,000,000。由于患者的表型多变,诊断可能会很困难。许多患者会出现皮肤毛细血管畸形和明显的静脉曲张(大而复杂的血管畸形)。因此,变形综合征患者有发生深静脉血栓形成和肺栓塞的风险。作者介绍了一例因肺血栓栓塞入院的变形综合征患者,该患者表现为左臂和左半胸肥大。

学习要点

变形综合征是一种极其罕见的疾病,表现为任何结缔组织的不对称、不成比例的过度生长。由于表型多变,诊断可能困难。重要的是要记住抗凝的重要性,因为患者有发生深静脉血栓形成和肺栓塞的风险。

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Proteus Syndrome: A Rare Case in An Adult Ward.变形综合征:成人病房中的罕见病例。
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本文引用的文献

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Proteus Syndrome, a rare case with an unusual presentation: Case report.变形综合征,一例罕见的特殊表现病例报告。
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The challenges of Proteus syndrome: diagnosis and management.变形综合征的挑战:诊断与管理
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Proteus syndrome: an update.变形综合征:最新进展
Am J Med Genet C Semin Med Genet. 2005 Aug 15;137C(1):38-52. doi: 10.1002/ajmg.c.30063.

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