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[弹性假黄瘤患者的多学科管理]

[Multidisciplinary management of patients affected with pseudoxanthoma elasticum].

作者信息

Farkas Klára, Kiss Norbert, Szabó Viktória, Resch Miklós, Vámos Rita, Borbándy Ágnes, Nagy Anikó, Apor Astrid, Arányi Tamás, Szeri Flóra, Wikonkál Norbert, Nagy Zoltán, Merkely Béla, Medvecz Márta

机构信息

1 Semmelweis Egyetem, Általános Orvostudományi Kar, Bőr-, Nemikórtani és Bőronkológiai Klinika Budapest, Mária u. 41., 1085 Magyarország.

2 Semmelweis Egyetem, Általános Orvostudományi Kar, Szemészeti Klinika Budapest Magyarország.

出版信息

Orv Hetil. 2022 May 1;163(18):702-711. doi: 10.1556/650.2022.32438.

Abstract

Pseudoxanthoma elasticum (PXE, OMIM # 264800) is an autosomal recessive, multisystemic disorder, associated with mutations of the ABCC6 gene. Ectopic mineralization is in the background of the clinical manifestations of the disease. Calcium-salt crystals are deposited primarily in the skin, in the Bruch membrane of the eyes, and in the vascular endothelium. Thus, in addition to the skin lesions, visual impairment and cardiovascular involvement also occur. Clinical symptoms show varying severity and display heterogeneous appearance. The identification of the phenotype and care of the patients require a multidisciplinary perspective based on the collaboration of a dermatologist, ophthalmologist, cardiologist, and clinical geneticist. The aim of our work is to describe the development of symptoms of the disease, in order to facilitate the diagnosis. In addition, we aim to draw attention to the importance of early diagnosis of pseudoxanthoma elasticum, and to present modern diagnostic methods. Considering the development of severe systemic complications, the early diagnosis with the collaboration between related specialists is crucial to provide optimal clinical care and management of the patients.

摘要

弹性假黄瘤(PXE,OMIM编号#264800)是一种常染色体隐性多系统疾病,与ABCC6基因突变有关。异位矿化是该疾病临床表现的背景。钙盐晶体主要沉积在皮肤、眼睛的布鲁赫膜和血管内皮中。因此,除了皮肤病变外,还会出现视力损害和心血管受累。临床症状表现出不同程度的严重程度且外观各异。对患者的表型识别和护理需要皮肤科医生、眼科医生、心脏病专家和临床遗传学家合作的多学科视角。我们工作的目的是描述该疾病症状的发展,以便于诊断。此外,我们旨在提请注意弹性假黄瘤早期诊断的重要性,并介绍现代诊断方法。考虑到严重全身并发症的发展,相关专家合作进行早期诊断对于为患者提供最佳临床护理和管理至关重要。

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