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Target Concepts:
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Query: UMLS:C0034067 (
emphysema
)
11,506
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
A case of isolated medial orbital wall fracture and medial rectus entrapment is presented. With minimal external evidence of trauma and lack of definitive evidence of fracture on plain films, a high index of suspicion if needed to diagnose this relatively unusual syndrome. The triad of: (1) retraction syndrome; (2) positive forced ductions in abduction; and (3) radiographic evidence of medial wall fracture on polytomography, will help the clinician to properly diagnose this condition. Epistaxis and subcutaneous
emphysema
, when present, should alert one to look carefully for a medial wall fracture.
J Pediatr Ophthalmol
Strabismus
PMID:A case of isolated medial wall fracture with medial rectus entrapment following seemingly trivial trauma. 51 83
Autosomal dominant cutis laxa (ADCL, OMIM #123700) is a rare connective tissue disorder characterized by loose, redundant skin folds that may be apparent form birth or appear later in life. Most severely affected areas are the neck, axillar regions, trunk, and groin. Typically, patients present with characteristic facial features including a premature aged appearance, long philtrum, a high forehead, large ears, and a beaked nose. Cardiovascular and pulmonary complications include bicuspid aortic valves, aortic root dilatation, and
emphysema
. Sporadically, these complications have been documented to cause premature death. Several rare findings including urogenital anomalies and gastroesophageal problems can be also occur. Most patients harbor a frameshift mutation in one of the five last exons of the ELN gene (ADCL1, OMIM #123700), whereas one patient was described to have a tandem duplication in the FBLN5 gene (ADCL2, OMIM #614434). Here, we present a female ADCL patient, from a consanguineous family, with a novel mutation in ELN and review 39 previously reported ADCL patients. All patients have various skin findings, whereas cardiovascular, pulmonary findings, and multiple hernia were present in 61, 28, and 38% of patients, respectively.
Strabismus
, urogenital anomalies, gastroesophageal problems, and scoliosis may rarely be present. A clear definition of the ADCL syndrome can enable more accurate genetic counseling.
...
PMID:A novel case of autosomal dominant cutis laxa in a consanguineous family: report and literature review. 2838 66