Marfan's Syndrome Flashcards
pathogenesis
mutation of fibrillin (FBN-1) gene interstitial tissue is composed of microfibril: strong, ropelike, forms connective tissueFBN-1 is a main element of microfibril and regulates tissue growth
what is it?
autosomal dominant sporadic mutation of fibrillin gene (chromosome 15)
how does it present?
tall stature disproportionately long limbs ligamentous laxity high arched palate scoliosis pectus excavatum lens dislocation, retinal detachment aortic aneurysm cardiac valve incompetence cardiac abnormalities may result in premature death
how is it managed?
rarely require orthopaediac surgery - scoliosis and bony procedures for joint instability soft tissue stabilization of dislocating joint