Marfan's syndrome physical examination: Difference between revisions
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=== Eyes === | === Eyes === | ||
[[Image:Lens marfan.gif|thumb|left|160px|Lens dislocation in Marfan's syndrome, the lens was kidney-shaped and was resting against the [[ciliary body]].]] | [[Image:Lens marfan.gif|thumb|left|160px|Lens dislocation in Marfan's syndrome, the lens was kidney-shaped and was resting against the [[ciliary body]].]] | ||
Marfan syndrome can also seriously affect the eyes and vision. [[myopia|Nearsightedness]] and [[astigmatism (eye)|astigmatism]] are common, but farsightedness can also result. <ref name="mayo-gen">{{Cite web|url=http://www.mayoclinic.com/health/marfan-syndrome/DS00540/DSECTION=2|title=Marfan Syndrome|accessdate=January 12 2007|dateformat=mdy|publisher=Mayo Clinic}}</ref> | * Marfan syndrome can also seriously affect the eyes and vision. [[myopia|Nearsightedness]] and [[astigmatism (eye)|astigmatism]] are common, but farsightedness can also result. <ref name="mayo-gen">{{Cite web|url=http://www.mayoclinic.com/health/marfan-syndrome/DS00540/DSECTION=2|title=Marfan Syndrome|accessdate=January 12 2007|dateformat=mdy|publisher=Mayo Clinic}}</ref> | ||
[[Subluxation]] (dislocation) of the crystalline [[lens (anatomy)|lens]] in one or both eyes (''[[ectopia lentis]]'') (in 80% of patients) also occurs and may be detected by an [[ophthalmologist]] or [[optometrist]] using a [[Slit lamp|slit-lamp]] biomicroscope. <ref name="mayo-gen">{{Cite web|url=http://www.mayoclinic.com/health/marfan-syndrome/DS00540/DSECTION=2|title=Marfan Syndrome|accessdate=January 12 2007|dateformat=mdy|publisher=Mayo Clinic}}</ref> | * [[Subluxation]] (dislocation) of the crystalline [[lens (anatomy)|lens]] in one or both eyes (''[[ectopia lentis]]'') (in 80% of patients) also occurs and may be detected by an [[ophthalmologist]] or [[optometrist]] using a [[Slit lamp|slit-lamp]] biomicroscope. <ref name="mayo-gen">{{Cite web|url=http://www.mayoclinic.com/health/marfan-syndrome/DS00540/DSECTION=2|title=Marfan Syndrome|accessdate=January 12 2007|dateformat=mdy|publisher=Mayo Clinic}}</ref> | ||
In Marfan's the dislocation is typically superotemporal whereas in the similar condition [[homocystinuria]], the dislocation is inferonasal.<ref name="mayo-gen">{{Cite web|url=http://www.mayoclinic.com/health/marfan-syndrome/DS00540/DSECTION=2|title=Marfan Syndrome|accessdate=January 12 2007|dateformat=mdy|publisher=Mayo Clinic}}</ref> | * In Marfan's the dislocation is typically superotemporal whereas in the similar condition [[homocystinuria]], the dislocation is inferonasal.<ref name="mayo-gen">{{Cite web|url=http://www.mayoclinic.com/health/marfan-syndrome/DS00540/DSECTION=2|title=Marfan Syndrome|accessdate=January 12 2007|dateformat=mdy|publisher=Mayo Clinic}}</ref> | ||
Sometimes eye problems appear only after the weakening of connective tissue has caused [[retinal detachment|detachment of the retina]].<ref name="mayo-gen">{{Cite web|url=http://www.mayoclinic.com/health/marfan-syndrome/DS00540/DSECTION=2|title=Marfan Syndrome|accessdate=January 12 2007|dateformat=mdy|publisher=Mayo Clinic}}</ref> Early onset [[glaucoma]] can be another related problem. | * Sometimes eye problems appear only after the weakening of connective tissue has caused [[retinal detachment|detachment of the retina]].<ref name="mayo-gen">{{Cite web|url=http://www.mayoclinic.com/health/marfan-syndrome/DS00540/DSECTION=2|title=Marfan Syndrome|accessdate=January 12 2007|dateformat=mdy|publisher=Mayo Clinic}}</ref> Early onset [[glaucoma]] can be another related problem. | ||
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Revision as of 14:58, 22 August 2012
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Marfan's syndrome Microchapters | |
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Diagnosis | |
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Treatment | |
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Marfan's syndrome physical examination On the Web | |
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American Roentgen Ray Society Images of Marfan's syndrome physical examination | |
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Risk calculators and risk factors for Marfan's syndrome physical examination | |
Editors-In-Chief: William James Gibson, C. Michael Gibson, M.S., M.D.
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [1] ; Assistant Editor-In-Chief: Cassandra Abueg, M.P.H. [2]
Overview
Physical Examination
Appearance of the Patient
Many individuals with Marfan Syndrome grow to above average height.
Vital Signs
Within normal limits.
Skin
- Unexplained stretch marks on the skin
Head
- Symptomatic high palates and small jaws.
Eyes
- Marfan syndrome can also seriously affect the eyes and vision. Nearsightedness and astigmatism are common, but farsightedness can also result. [1]
- Subluxation (dislocation) of the crystalline lens in one or both eyes (ectopia lentis) (in 80% of patients) also occurs and may be detected by an ophthalmologist or optometrist using a slit-lamp biomicroscope. [1]
- In Marfan's the dislocation is typically superotemporal whereas in the similar condition homocystinuria, the dislocation is inferonasal.[1]
- Sometimes eye problems appear only after the weakening of connective tissue has caused detachment of the retina.[1] Early onset glaucoma can be another related problem.
Ear
Nose
Throat
Heart
Lungs
Abdomen
Extremities
- Some have long slender limbs with fingers and toes that are also abnormally long and slender (arachnodactyly).
- An individual's arms may be disproportionately long.
- Abnormal joint flexibility
- Flat feet, stooped shoulders
Neurologic
- Some people with Marfans have speech disorders
Genitals
Other
- Abnormal curvature of the spine (scoliosis) is common, as is abnormal indentation (pectus excavatum) or protrusion (pectus carinatum) of the sternum.