马凡氏综合征:遗传、诊断方法、疾病处理

Kinga Grużewska-Piotrowska, Monika Pająk, Joanna Hubka, Wojciech Wcisło
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摘要

马凡氏综合征(MFS)是一种全身性常染色体显性结缔组织疾病。主要由FBN1基因突变引起,与细胞外基质蛋白fibrin -1有关。发病率约为2-3 / 10000。约70-75%的病例以常染色体显性方式遗传,其余为新生突变。研究目的:本研究旨在收集马凡氏综合征的遗传、诊断方法和管理方面的最新知识。材料和方法:本综述基于PubMed数据库和Google Scholar网络搜索引擎收集的现有数据,关键词:马凡氏综合征。结论:马凡氏综合征的诊断需要详细评估患者的体质、伴发疾病,最重要的是要了解患者的遗传史。结缔组织突变可以在任何时候发生,并且已经存在的缺陷可能会恶化。医生在检查疑似MFS患者时应特别注意。已确诊的患者应定期检查,以迅速发现可能的并发症。没有随意性治疗,多方向采用预防性治疗治疗。
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Marfan’s syndrome – inheritance, diagnostic methods, management in disease
Introduction: Marfan’s syndrome (MFS) is a systemic, autosomal dominant connective tissue disease. It is caused mainly by the mutations in the FBN1 gene and is connected with extracellular matrix protein fibrillin-1. The incidence is about 2-3 per 10 000. About 70-75% of cases are inherited in an autosomal dominant fashion and the remaining are de-novo mutations. The aim of the study: This study aims to gather current knowledge about inheritance, diagnostic methods and management in Marfan syndrome. Materials and methods: This review was based on available data collected in the PubMed database and Google Scholar web search engine, using the key words: Marfan’s syndrome. MFS, FBN1, aortic aneurysm, Marfan Foundation Conclusion: The diagnosis of Marfan’s syndrome requires detailed assessment of the body build, concomitant diseases and, above all, genetic history of the patient. Connective tissue mutations can develop at any time, and already existing defects can exacerbate. Physicians should pay particular attention while examining patients with suspected MFS. Already diagnosed patients should be checked regularly to quickly find possible complications. There is no casual treatment, multidirectional preventive therapeutic treatment is used.
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