Presentation
There is a varying severity in phenotypic presentation of Beals syndrome even among family members. [indianpediatrics.net]
Presents a new chapter on genomics and personalized medicine for the latest on these hot topics. [books.google.com]
In another case line, light brown pigment was present on the anterior surface of the lens. [ijo.in]
Clinical presentation Cyanosis may be central or peripheral. In the central type, the desaturation of the arterial blood affects both the mucous membranes and the skin. [emedicine.medscape.com]
Congenital muscular dystrophy presents with muscle weakness that begins in infancy or very early childhood. Mersin is one muscle proteins that can be absent or present with congenital muscular dystrophies. [bertsbigadventure.org]
Entire Body System
- Tall Stature
It is characterized by tall stature, elongated extremities, mitral valve prolapse, aortic dilatation, aortic dissection, and subluxation of the lens. [fpnotebook.com]
The cardinal clinical manifestations of Marfan syndrome include tall stature with dolichostenomelia and arachnodactyly; deformity of the spine and anterior chest; joint hypermobility or contracture; dilatation and dissection of the ascending aorta; mitral [ommbid.mhmedical.com]
Skovby,F; McKusick,VA (1977): Estrogen treatment of tall stature in girls with the Marfan syndrome. In: Natural History of Specific Birth Defects. Vol. 3. (Eds: Bergsma,D; Lowry,RB) (Series Ed: Bergsma,D. [ibis-birthdefects.org]
Certain athletes, including basketball and volleyball players, may be suspected based on their tall stature. The vast majority of tall athletes do not have Marfan syndrome. [acc.org]
Abnormal musculoskeletal findings include arachnodactyly, tall stature, scoliosis, pectus deformities, and ligamentous laxity. [kjim.org]
- Atrial Septal Defect
[…] in 15%-mitral valve prolapse, atrial septal defect, ventricular septal defect, aortic hypoplasia Cardiovascular complications in 2/3aortic aneurysm and regurgitation, lesions of pulmonary artery and mitral valve with mitral insufficiency, arrhythmias [fetalultrasound.com]
The cardiac associations with Beals syndrome has been reported in various studies and may be present in 32% of cases, usually atrial septal defect or a ventricular defect unlike the structural cardiac defects in the form of aortic regurgitation, aortic [indianpediatrics.net]
Septal Defect Type 2 (ASD2) Atrioventricular Septal Defect Type 4 Ventricular Septal Defect Type 1 GATA6 GATA Binding Protein 6 Congenital Heart Diseases (CHD) GATAD1 GATA Zinc Finger Domain-Containing Protein 1 Dilated Cardiomyopathy 2B GDF1 Growth [bcm.edu]
transposition of the great arteries and atrial septal defect [ 17, 18, 25 ]. [bmcpediatr.biomedcentral.com]
Table 2: Guidelines for cardiovascular care and surgery for Loeys–Dietz syndrome Congenital heart disease such as bicuspid aortic valve, atrial septal defect, or a patent ductus arteriosus are more frequently seen in LDS 1/2 than in the general population [nature.com]
- Asymptomatic
Pulmonary AVMs (PAVMs) can be asymptomatic or manifest as dyspnea and hypoxemia secondary to shunting. [aetna.com]
Symptoms can include pain in the lower back, hip/pelvic region, and proximal leg, as well as weakness/numbness above and below the knees. 59 However, in most patients, the dural ectasia is asymptomatic. 60 FIGURE 9 Dural ectasia of the lumbar spinal canal [pediatrics.aappublications.org]
Because Marfan syndrome may cause asymptomatic spinal abnormalities, any spinal surgery contemplated on a person Marfan should only follow detailed imaging and careful surgical planning, regardless of the indication for surgery. [en.wikipedia.org]
Ambriz, Prothrombin „Mexico City, an asymptomatic autosomal dominant. Am.J.Hematol. 24 (1987) 229–240. Google Scholar Harris, E. L. and T.H. Beaty, Segregation analysis of hypospadias: Reanalysis of published pedigree data. (1993) 420–425. [link.springer.com]
[…] disability-spasticity-ectrodactyly syndrome Intellectual disability-strabismus syndrome Intermediate DEND syndrome Intermediate nemaline myopathy Intermediate severe Salla disease Internal carotid agenesis Isolated Dandy-Walker malformation Isolated anencephaly/exencephaly Isolated asymptomatic [se-atlas.de]
Skin
- Papule
[…] centriacinar [smoking], panacinar [a1-antitrypsin deficiency]) Polyuria, renal tubular acidosis type II, growth failure, electrolyte imbalances, hypophosphatemic ricketsFanconi syndrome (proximal tubular reabsorption defect) Pruritic, purple, polygonal planar papules [memorize.com]
They appear as crops of yellow-orange papules with erythematous halos on the extensor surfaces of the extremities and the buttocks. [emedicine.medscape.com]
Musculoskeletal
- Muscle Weakness
MYOTONIC DYSTOPHY: Mytonic Dystrophy is an inherited disorder of muscle function. It is characterized by muscle weakness and myotonia (slow relaxation of the muscles after contraction). [bertsbigadventure.org]
weakness in boysBecker muscular dystrophy (X-linked missense mutation in dystrophin; less severe than Duchenne) Small, irregular red spots on buccal/lingual mucosa with blue-white centersKoplik spots (measles; rubeola virus) Smooth, flat, moist, painless [memorize.com]
Some common symptoms include rapid heartbeat, shortness of breath, changes in eyes and vision, tremors and muscle weakness, anxiety, difficulty concentrating and insomnia. [tsbvi.edu]
Muscle cramps, muscle weakness, easy fatigability. Myoglobinuria with strenuous exercise. [kumc.edu]
weakness, muscle pain, myotonia). [aetna.com]
- Short Hands
[…] stature, broad short hands/feet, characteristic facies (pronounced epicanthic skin folds, flat hypoplastic face, short nose, enlarged tongue), transverse palmar crease, very dry skin, learning difficulties; formerly termed mongolism Edwards' syndrome [medical-dictionary.thefreedictionary.com]
Eyes
- Ectopia Lentis
Some people with CCA have mitral valve prolapse but aortic dilatation or ectopia lentis should prompt consideration of Marfan syndrome. In most inherited forms of ectopia lentis, findings are limited to the eye. [ommbid.mhmedical.com]
Bilateral ectopia lentis, displacement up and out seen through undilated pupils. [ijo.in]
lentis, severe myopia, retinal detachment, glaucoma -lead to severe limitation of visual acuity or total blindness No ocular defects Ectopia lentis Ears Crumpled, 'cabbage leaf like' ears No ear abnormalities Hands Arachnodactyly Arachnodactyly (more [fetalultrasound.com]
Associated ocular anomalies Ectopia lentis et pupillae, aniridia, isolated anomaly. [ejournalofophthalmology.com]
>7 (see Table 2 below) = Marfan syndrome* Ectopia lentis AND FBN1 associated with known aortic dilatation = Marfan syndrome In the presence of a family history of Marfan syndrome, any of the following: Ectopia lentis AND family history of Marfan syndrome [acc.org]
Workup
Applications/comments Biochemical assays Many types available, depending on the condition Some can be performed only on certain tissue types, and only by certain specialized laboratories Because the selection of the type of assay is critical, a biochemical workup [aafp.org]
Treatment
Treatment of Musculoskeletal Chest Pain, Evaluation and Treatment of Rotator Cuff Pathology, Evaluation and Treatment of Sternoclavicular, Clavicular, and Acromioclavicular Injuries, Evaluation and Treatment of Upper Extremity Nerve Entrapment Syndromes [books.google.com]
There are two main types of clinical studies: Clinical trials determine if a new test or treatment for a disease is effective and safe by comparing groups receiving different tests/treatments. [rarediseases.info.nih.gov]
Treatment uses diet and therapy to optimize bone mass and muscle strength. Orthopedic care is a pillar of treatment for these patients providing fracture care and treatment for scoliosis which is common for OI. [bertsbigadventure.org]
What is the treatment for Marfan syndrome? There is no cure for Marfan syndrome. However, some treatments are available to help with the problems that Marfan syndrome causes. [patient.info]
Prognosis
What is the Prognosis for Beals Syndrome? (Outcomes/Resolutions) The prognosis of Beals Syndrome is dependent on the severity of the signs and symptoms. [dovemed.com]
High Blood Pressure: Home Testing o Home Blood Pressure Tests o Home Blood Pressure Monitors o Home Heart Tests * Heart Health: Home Testing: o Heart Rate Monitors o Irregular Heartbeat Detection o Heart Electrocardiogram (ECG) o Home Cholesterol Tests Prognosis [checkorphan.org]
Improved diagnosis and treatment of Marfan syndrome are both helping to improve the prognosis so that many people with Marfan syndrome can expect to live as long as someone without Marfan syndrome. [patient.info]
It requires a more aggressive treatment plan and has a worse prognosis if the child relapses. [bertsbigadventure.org]
Etiology
Their etiology is not precisely century with the first clinical recognition of known, so we have included chapters that dis symptoms and patterns for diagnosis of car cuss many aspects of congenital cardiac mal diovascular diseases. [books.google.com]
(Etiology) Beals Syndrome is caused by a mutation in the FBN2 gene. [dovemed.com]
In most cases, acute leukemia develops for unknown etiology. [kjim.org]
Similarly, many patients report chronic fatigue, which may affect education and can manifest as inattention or poor concentration. 11 The etiology of the fatigue is likely heterogeneous, in part because of the underlying chronic condition, medications [pediatrics.aappublications.org]
Epidemiology
Epidemiology of acute leukemia in children and adults. Semin Oncol 1997;24:3–16. 12. Dexeus FH, Logothetis CJ, Chong C, Sella A, Ogden S. Genetic abnormalities in men with germ cell tumors. J Urol 1988;140:80–84. [kjim.org]
Osterholm, The epidemiology and clinical aspects of the hemolytic uremic syndrome in Minnesota: New Engl. J.Med. 323 (1990) 1161–1167. Google Scholar Mattoo, T.K., M.A. Mahmood, M.S. Al-Harbi and I. [link.springer.com]
Epidemiology and etiology of Parkinson's disease: a review of the evidence. Eur J Epidemiol. 2011;26(suppl 1):S1–S58. 25. Blennow K, de Leon MJ, Zetterberg H. Alzheimer's disease. Lancet. 2006;368(9533):387–403. 26. Wattendorf DJ, Hadley DW. [aafp.org]
[…] adequate prophylactic monitoring and prophylactic therapy offers something approaching a normal lifespan, and more manifestations of the disease are being discovered as more patients live longer. [53] Women with Marfan syndrome live longer than men. [11] Epidemiology [en.wikipedia.org]
Screening and diagnosis for the fragile X syndrome among the mentally retarded: An epidemiological and psychological survey. Am J Hum Genet. 1997;61:660-667. Gonnaud PM, Sturtz F, Bonnebouche C, et al. [aetna.com]
Pathophysiology
However, a study from China examining stent-graft repair of acute type B dissection demonstrated that retrograde dissection was the main complication of stent grafting in individuals with Marfan syndrome. 41 Due to similarities in underlying pathophysiology [nature.com]
Kure, Non-ketotic hyperglycinemia: Molecular lesion, diagnosis and pathophysiology. J.Inherit.Metab.Dis. 16 (1993) 691–703. CrossRef Google Scholar Yang-Feng, T.L., J.P. Kraus and U. [link.springer.com]
Clinical manifestations, pathophysiology, and diagnosis of atrioventricular (AV) canal defects. UpToDate [online serial]. Waltham, MA: UpToDate; reviewed December 2013. Altman CA. [aetna.com]
Prevention
Sometimes medicine can prevent the aneurysms. Many aneurysms get better with time. Most children return to their normal state of health after Kawasaki disease. [childrenshospital.vanderbilt.org]
All patients should routinely be given beta-blockers (eg, atenolol, propranolol ) to help prevent cardiovascular complications. [merckmanuals.com]
Prevention - Eye defects arachnodactyly cardiopathy Not supplied. [checkorphan.org]
Before various types of surgery are performed, a preventative course of antibiotics to prevent bacterial infection is recommended to minimise this risk. Causes of Marfan syndrome Marfan syndrome is a gene abnormality. [betterhealth.vic.gov.au]