Parida Swati, Pathak Abhishek, Mishra Vijaya Nath
Department of Neurology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Department of Neurology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IND.
Cureus. 2024 Jul 27;16(7):e65524. doi: 10.7759/cureus.65524. eCollection 2024 Jul.
Loeys-Dietz syndrome (LDS) is a very rare connective tissue disorder with autosomal dominant inheritance, characterized by the involvement of the cardiovascular, musculoskeletal, and cutaneous systems, along with dysmorphic facial features. Currently, there are limited data regarding this disease. This case presents a clinical observation of a 17-year-old boy with acute onset of sensorimotor paraparesis and genetically confirmed LDS. The predominant symptoms of LDS include arterial aneurysms, arterial tortuosity, hypertelorism, and bifid uvula. However, this constellation of symptoms is not found in all patients with the disease. Genetic confirmation is essential for an accurate diagnosis. The prognosis for LDS differs from its mimics, such as Marfan syndrome, Beals syndrome, Ehlers-Danlos syndrome, and Shprintzen-Goldberg syndrome. Management of the disease warrants a multidisciplinary approach to address its various manifestations. Such an approach can help increase the life expectancy and improve the quality of life for these patients.
洛伊斯-迪茨综合征(LDS)是一种非常罕见的常染色体显性遗传结缔组织疾病,其特征是心血管、肌肉骨骼和皮肤系统受累,伴有面部畸形特征。目前,关于这种疾病的数据有限。本病例展示了一名17岁男孩急性起病的感觉运动性轻截瘫且经基因确诊为LDS的临床观察。LDS的主要症状包括动脉瘤、动脉迂曲、眼距过宽和悬雍垂裂。然而,并非所有该疾病患者都有这一系列症状。基因确诊对于准确诊断至关重要。LDS的预后与其类似疾病不同,如马凡综合征、比尔斯综合征、埃勒斯-当洛综合征和施普林曾-戈德堡综合征。该疾病的管理需要多学科方法来应对其各种表现。这种方法有助于提高这些患者的预期寿命并改善生活质量。