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Journal of Medical Case Reports

, 7:35

First Online: 01 February 2013Received: 01 August 2012Accepted: 28 November 2012DOI: 10.1186-1752-1947-7-35

Cite this article as: Kashizaki, F., Hatamochi, A., Kamiya, K. et al. J Med Case Reports 2013 7: 35. doi:10.1186-1752-1947-7-35

Abstract

IntroductionVascular-type Ehlers-Danlos syndrome is an autosomal dominant disease that causes arterial spurting, intestinal perforation, uterine rupture and hemopneumothorax due to decreased production of type III collagen. The average age at death is 48 years old, and it is considered to be the most severe form of Ehlers-Danlos syndrome. We report the case of a 64-year-old Japanese woman and her 38-year-old daughter who were diagnosed with this disease.

Case presentationA 64-year-old Japanese woman was referred to our hospital because of right anterior chest pain following cough and pharyngeal discomfort. Pleurisy was suspected due to the presence of right pleural effusion, so the next day she was referred to our department, where a detailed examination led to the diagnosis of hemothorax. The bleeding that caused the right hemothorax was difficult to control, so our patient was transferred to the Department of Thoracic Surgery for hemostasis control. Our patient’s personal history of uterine hemorrhage and skin ulcers, as well as the finding of skin fragility during surgery, were indicative of a weak connective tissue disease; therefore, after improvement of the hemothorax, a genetic analysis was performed. This revealed a heterozygous missense mutation in COL3A1, c.2411 G>T p.Gly804Val exon 36. A detailed investigation conducted at a later date revealed that her daughter also had the same genetic mutation. This led to the diagnosis of vascular-type Ehlers-Danlos syndrome characterized by a new gene mutation.

ConclusionWe report a new genetic mutation associated with vascular-type Ehlers-Danlos syndrome. We present the clinical and imaging findings, and the disease and treatment course in this patient. We believe this information will be important in treating future cases of vascular-type Ehlers-Danlos syndrome in patients with this mutation.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-7-35 contains supplementary material, which is available to authorized users.

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Autor: Fumihiro Kashizaki - Atsushi Hatamochi - Kazunori Kamiya - Akira Yoshizu - Hiroaki Okamoto

Fuente: https://link.springer.com/



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