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Læknablaðið - 15.06.2012, Qupperneq 35

Læknablaðið - 15.06.2012, Qupperneq 35
SJÚKRATILFELLI Þegar einstaklingur hefur verið greindur með EDS IV skal fræða hann og læknateymið vel um forvarnir, svo sem að forðast beri áverka sem hljótast í sumum íþróttum og valkvæðar skurð- aðgerðir. Mælt er með því að sjúklingar með EDS IV gangi með MedicAlert-merki eða neyðarkort sem innihaldi helstu upplýsingar um heilkennið, fylgikvilla þess og frábendingar. Heimildir 1. Beighton P, De Paepe A, Steinmann B, Tsipouras P, Wenstrup RJ. Ehlers-Danlos syndromes: revised nosology, Villefranche, 1997. Am J Med Genet 1998; 77: 31-7. 2. Germain DP. Ehlers-Danlos syndrome type IV. Orphanet J Rare Dis 2007; 2: 32. 3. Hausser I, Anton-Lamprecht I. Differential ultrastructural aberrations of collagen fibrils in Ehlers-Danlos syndrome types I-IV as a means of diagnostics and classification. Hum Genet 1994; 93:394-407. 4. Pope FM, Martin GR, Lichtenstein JR, Penttinen R, Gerson B, Rowe DW, et al. Patients with Ehlers-Danlos syndrome type IV lack type III collagen. Proc Natl Acad Sci U S A 1975; 72:1314-6. 5. Holbrook KA, Byers PH. Ultrastructural characteristics of the skin in a form of the Ehlers-Danlos syndrome type IV. Storage in the rough endoplasmic reticulum. Lab Invest 1981; 44: 342-50. 6. Pepin M, Schwarze U, Superti-Furga A, Byers PH. Clinical and genetic features of Ehlers-Danlos syndrome type IV, the vascular type. N Engl J Med 2000; 342: 673-80. 7. Pepin MG, Byers PH. Ehlers-Danlos Syndrome Type IV. 1999 Sep 2 [Updated 2011 May 3]. In: Pagon RA, Bird TD, Dolan CR, et al., editors. GeneReviews™ [Intemet]. Seattle (WA): University of Washington, Seattle; 1993. 8. Erez Y, Ezra Y, Rojansky N. Ehlers-Danlos type IV in pregnancy. A case report and a literature review. Fetal Diagn Ther 2008; 23: 7-9. 9. Lurie S, Manor M, Hagay ZJ. The threat of type IV Ehlers-Danlos syndrome on matemal well-being during pregnancy: early delivery may make the difference. J Obstet Gynaecol 1998; 18: 245-8. 10. Callewaert B, Malfait F, Loeys B, De Paepe A. Ehlers- Danlos syndromes and Marfan syndrome. Best Pract Res Clin Rheumatol 2008; 22:165-89. 11. Parry S, Strauss JF, 3rd. Premature rupture of the fetal membranes. N Engl J Med 1998; 338: 663-70. 12. Voermanns NC, Knoop H, Bleijenberg G. Pain in Ehlers- Danlos Syndrome is common, severe, and associated with functional impairment. J Pain Symptom Manage 2010; 40: 370-8. 13. Oderich GS, Panneton JM, Bower TC, Lindor NM, Cherry KJ, Noel AA, et al. The spectrum, management and clinical outcome of Ehlers-Danlos syndrome type IV: a 30-year experience. J Vasc Surg 2005; 42:98-106. 14. Zilocchi M, Macedo TA, Oderich GS, Vrtiska TJ, Biondetti PR, Stanson AW. Vascular Ehlers-Danlos syndrome: imaging findings. Am J Roentgenol 2007; 189: 712-9. ENGLISH SUMMARY Ehlers-Danlos syndrome type IV. Case study and clinical findings Gudmundsdottir SA', Möller PH'-2, Arngrimsson R' 3 We describe Ehlers-Danlos syndrome type IV in adult patients with a confirmed diagnosis and a systematic review of expected clinical findings in the disease. Serious complications were found in four indi- viduals, two with gastrointestinal perforation at the age of 32 years, two had died from an aortic rupture (34 and 44 years old) and one has been Key words: Ehlers-Danlos syndrome IV, clinical symptoms, complications. Correspondence. Reynir Arngrimsson, reynirar@landspitali.is ’Faculty of Medicine, University of lceland. 2Department of Surgery, Landspitali - University Hospital, Reykjavik, lceland 3Department of Genetics and Mole- cular Medicine, Landspitali - University Hospital, Reykjavik, lceland. diagnosed with aortic root dilatation. Most had also less severe clinical features such as varicose veins, easy bruising, thin and translucent skin, chronic joint subluxation or dislocation or pes planus. None of the females had uterine rupture or premature birth. Management and surveillance options were reviewed. LÆKNAblaðíð 2012/98 359
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