Leopard syndrome medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
Medical management is routine care as symptoms present | Medical management is routine care as symptoms present. For those with endocrine issues (low levels of [[thyroid stimulating hormone|thyrotopin]] [a pituitary hormone responsible for regulating thyroid hormones], [[follicle stimulating hormone]]) drug therapy is recommended. Retinoids decrease abnormal hyperproliferative keratinocytes and may reduce potential for malignant degeneration. So an alternative treatment with tretinoin or hydroquinone creams may help. Hydroquinone lightens hyperpigmented skin through inhibiting enzymatic oxidation of tyrosine and suppressing other melanocyte metabolic processes which will inhibit melanogenesis. Drug therapies for those with cardiac abnormalities, as those abnormalities become severe enough to warrant the use of these therapies, [[electrocardiograph|EKG's]] are mandatory prior to any surgical interventions, due to possible [[arrhythmia]]. patients with ventricular hypertrophy may follow familial [[Hypertrophic cardiomyopathy]] algorithms.<ref name="Elliott-2004">{{Cite journal | last1 = Elliott | first1 = P. | last2 = McKenna | first2 = WJ. | title = Hypertrophic cardiomyopathy. | journal = Lancet | volume = 363 | issue = 9424 | pages = 1881-91 | month = Jun | year = 2004 | doi = | ||
10.1016/S0140-6736(04)16358-7 | PMID = 15183628 }}</ref> Genitourinary, musculoskeletal, neurological and orthodontic anomalies should be monitored and treated as for [[Noonan syndrome]].<ref name="van der Burgt-2007">{{Cite journal | last1 = van der Burgt | first1 = I. | title = Noonan syndrome. | journal = Orphanet J Rare Dis | volume = 2 | issue = | pages = 4 | month = | year = 2007 | doi = 10.1186/1750-1172-2-4 | PMID = 17222357 }}</ref> | |||
10.1016/S0140-6736(04)16358-7 | PMID = 15183628 }}</ref> | |||
==References== | ==References== | ||
Revision as of 16:49, 5 September 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamed Moubarak, M.D. [2]
Overview
Medical Therapy
Medical management is routine care as symptoms present. For those with endocrine issues (low levels of thyrotopin [a pituitary hormone responsible for regulating thyroid hormones], follicle stimulating hormone) drug therapy is recommended. Retinoids decrease abnormal hyperproliferative keratinocytes and may reduce potential for malignant degeneration. So an alternative treatment with tretinoin or hydroquinone creams may help. Hydroquinone lightens hyperpigmented skin through inhibiting enzymatic oxidation of tyrosine and suppressing other melanocyte metabolic processes which will inhibit melanogenesis. Drug therapies for those with cardiac abnormalities, as those abnormalities become severe enough to warrant the use of these therapies, EKG's are mandatory prior to any surgical interventions, due to possible arrhythmia. patients with ventricular hypertrophy may follow familial Hypertrophic cardiomyopathy algorithms.[1] Genitourinary, musculoskeletal, neurological and orthodontic anomalies should be monitored and treated as for Noonan syndrome.[2]
References
- ↑ Elliott, P.; McKenna, WJ. (2004). "Hypertrophic cardiomyopathy". Lancet. 363 (9424): 1881–91. doi:10.1016/S0140-6736(04)16358-7. PMID 15183628. Unknown parameter
|month=ignored (help) - ↑ van der Burgt, I. (2007). "Noonan syndrome". Orphanet J Rare Dis. 2: 4. doi:10.1186/1750-1172-2-4. PMID 17222357.