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Marfan/Marfan-Achard syndrome

Marfan/Marfan-Achard syndrome

Diseases of Bone & Joints

Involves defect in FBN1 (Fibrillin-1) gene on chromosome 15 (q15-q23 bands). It is autosomal dominant in nature, presenting with musculoskeletal, cardiac, ocular and other problems.

Skeletal Problems


  • Arachnodactyly (spider finger).
  • Dolichostenomelia (Long limbs relative to trunk length).
  • Thoracolumbar scoliosis.
  • Long and narrow skull shape (Diagnostic).
  • Hyperextensibility of joints with habitual dislocations.
  • Kyphosis (Hunching of back).
  • Flat feet.

Cardiovascular Problems


  • Aortic dilation.
  • Aortic regurgitation.
  • Aneurysms.

Ocular Problems


  • Myopia.
  • Cataract.
  • Retinal Detachment.
  • Superior dislocation of the lens.

Oral Manifestations


  • High arched palate.
  • Bifid uvula.
  • Malocclusion.
  • Temporomandibular Dysarthrosis.
  • Multiple odontogenic cysts.

Radiographic Findings


  • High arched palate.
  • Increased skull height.
  • Enlarged frontal sinus.

References


  • Shafer, Hine, Levy Shafer's Textbook of Oral Pathology (7th Edition), Editors - R Rajendran, B Sivapathasundharam, Elsevier.

*This article is an excerpt from the above mentioned books and Medical Sutras does not make any ownership or affiliation claims.