[Multidisciplinary management of patients affected with pseudoxanthoma elasticum].

Orv Hetil

1 Semmelweis Egyetem, Általános Orvostudományi Kar, Bőr-, Nemikórtani és Bőronkológiai Klinika Budapest, Mária u. 41., 1085 Magyarország.

Published: May 2022

AI Article Synopsis

  • Pseudoxanthoma elasticum (PXE) is an autosomal recessive disorder caused by mutations in the ABCC6 gene, leading to abnormal calcium-salt crystal deposits in the skin, eyes, and blood vessels.
  • The disease results in a range of clinical symptoms including skin lesions, vision problems, and cardiovascular issues, which can vary widely among patients.
  • Early diagnosis and a multidisciplinary approach involving specialists from dermatology, ophthalmology, cardiology, and genetics are essential for optimal patient management and to mitigate severe complications.

Article Abstract

Pseudoxanthoma elasticum (PXE, OMIM # 264800) is an autosomal recessive, multisystemic disorder, associated with mutations of the ABCC6 gene. Ectopic mineralization is in the background of the clinical manifestations of the disease. Calcium-salt crystals are deposited primarily in the skin, in the Bruch membrane of the eyes, and in the vascular endothelium. Thus, in addition to the skin lesions, visual impairment and cardiovascular involvement also occur. Clinical symptoms show varying severity and display heterogeneous appearance. The identification of the phenotype and care of the patients require a multidisciplinary perspective based on the collaboration of a dermatologist, ophthalmologist, cardiologist, and clinical geneticist. The aim of our work is to describe the development of symptoms of the disease, in order to facilitate the diagnosis. In addition, we aim to draw attention to the importance of early diagnosis of pseudoxanthoma elasticum, and to present modern diagnostic methods. Considering the development of severe systemic complications, the early diagnosis with the collaboration between related specialists is crucial to provide optimal clinical care and management of the patients.

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Source
http://dx.doi.org/10.1556/650.2022.32438DOI Listing

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