A case of pseudoxanthoma elasticum with recurrent ischemic vascular events
نویسندگان
چکیده
症例は60歳女性.約10年前に心筋梗塞を発症し,経皮的冠動脈形成術がなされた.約3年前に穿通枝領域の脳梗塞を発症して他院で加療を受け,抗血小板薬が導入された.当時の頭部MRI/MR angiography(MRA)では陳旧性の穿通枝梗塞巣が散見され,頭頚部主幹動脈に狭窄や閉塞は認めなかった.今回,穿通枝梗塞を再発して当科へ入院となり,繰り返す虚血性血管イベントに対して原因精査を行い,弾性線維性仮性黄色腫(pseudoxanthoma elasticum: PXE)の確定診断に至った.本疾患は常染色体劣性遺伝の形式をとり,若年性心血管イベントや網膜下出血・消化管出血の要因となり得る.根本的治療はいまだなく,高血圧や脂質異常などの危険因子の管理が一般的となっている.非高齢者の再発性穿通枝梗塞患者においては,本症を鑑別に挙げることが併発症の管理の面からも重要になると考えられる.
منابع مشابه
A case of pseudoxanthoma elasticum with proliferative diabetic retinopathy
BACKGROUND To report the case of a patient with pseudoxanthoma elasticum (PXE) and proliferative diabetic retinopathy (PDR), and discuss the relationship between PXE and diabetic retinopathy (DR). CASE PRESENTATION A 47-year-old man with PXE presented with angioid streaks and DR in both eyes, and bilateral panretinal photocoagulation was performed for treatment. Vitrectomy had previously been...
متن کاملPseudoxanthoma elasticum
Pseudoxanthoma elasticum (PXE) is a genetic metabolic disease with autosomal recessive inheritance caused by mutations in the ABCC6 gene. The lack of functional ABCC6 protein leads to ectopic mineralization that is most apparent in the elastic tissues of the skin, eyes and blood vessels. The clinical prevalence of PXE has been estimated at between 1 per 100,000 and 1 per 25,000, with slight fem...
متن کاملPseudoxanthoma Elasticum – Also a Lung Disease? The Respiratory Affection of Patients with Pseudoxanthoma Elasticum
BACKGROUND Pseudoxanthoma elasticum (PXE) is an autosomal-recessive mineralisation disorder caused by loss of function mutations in the ABCC6 Gen. Histological findings and data of an autopsy of a PXE-patient suggest a possible pulmonal calcification. So far, there exists no clinical data whether PXE patients actually are at high risk of developing pulmonary disorder. METHODS In a cross-secti...
متن کاملPseudoxanthoma elasticum with cerebrovascular accident.
A 65-year-old male presented with right hemiparesis and skin lesions. On examination, the patient had multiple, discrete, skin-colored papules on the neck and upper chest with wrinkling of the skin. The lateral part of the trunk and medial aspect of both upper arms showed atrophic plaques. A computerized tomography scan of the head showed dilatation of the basilar artery with a frontoparietal i...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Nosotchu
سال: 2023
ISSN: ['0912-0726', '1883-1923']
DOI: https://doi.org/10.3995/jstroke.11087