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Vol. 13. Issue 1.
Pages 31-35 (January - March 1977)
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Vol. 13. Issue 1.
Pages 31-35 (January - March 1977)
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Sindrome de ehlers-danlos asociado a pectus carinatus
Ehlers danlos’ syndrome associated with pectus carinatum
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J.M. Rodríguez Paniagua, J.A. Pérez Antón, J.L. Martín de Nicolás, Serrahima, J. Toledo González, M. Palazón de la Barreda
Sección de Cirugía Torácica. Ciudad Sanitaria de la S.S. «Io de Octubre», Madrid
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Resumen

Presentamos un caso de síndrome de EhIers-Danlos en su forma clásica que debido a la hiperlaxitud articular y ligamentosa se acompaña de complicaciones ortopédicas y deformidades esqueléticas de diverso tipo. Pectus carinatum con escoliosis secundaria pocas veces descrito, displasia de cadera, genu recurvatum, pie plano valgo. Además presentaba osteoprosis generalizada y dedos supernumerarios que no hemos encontrado escritos en la literatura.

Entre los antecedentes familiares se han encontrado alteraciones torácicas del mismo tipo que no hemos podido estudiar.

Por último, la indicación quirúrgica ha sido hecha desde el punto de vista estético a pesar de no presentar ninguna sintomatología cardiorespiratoria según la técnica de Ravit.

Los resultados inmediatos han sido satisfactorios (fig. 9) habiéndose reducido la deformidad, sin embargo, la cicatriz a pesar del injerto es anfractuosa, atrófica, como ocurre habitualmente en este síndrome.

Summary

The authors present a case of Ehlers-Danlos’ syndrome in its classical form that due to articular and ligamentous hyperlaxity was accompanied by orthopedic complications and skeletal deformities of various types, pectus carinatum with secondary scoliosis seldom described, dysplasia of the hip, genu recurvatum, pes planovalgus. There was also generalized osteoporosis and supernumerary fingers that the authors have not found described in medical literature.

In the familial antecedents there were thoracic alterarions of the same type, but they could not be studied.

Finally, the surgical indication was made from the esthetic point of view in spite of not presenting any cardiorespiratory symptomatology according to Ravit's technique.

The immediate results have been satisfactory. The deformity was reduced, how ever, in spite of the graft, the scar in anfractuous, astrophic as habitually. occurs in this syndrome.

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Bibliografia
[1.]
E. Ehlers.
Cutis laxa, neigung zu Haemorragien in der haut, lockerung mehrerer artikulationen.
Derm. Z, 8 (1901), pp. 173
[2.]
M. Danlos.
Un cas de cutis laxa avec tumeurs par contusión chronique des coudes et des genoux.
Butt. Soc. derm. franc. syph, 19 (1908), pp. 70
[3.]
J.A. Van meereken.
De dilatabilitate extraordinaria cutis.
Observationes. Amsterdam medico-Chirurgicae, (1682), pp. 32
[4.]
A. Tschernogowbow.
Cutis laxa mhft.
Prackt. Derm., 14 (1892), pp. 76
[5.]
V.A. Mc kusick.
Meritable Disodres of Connective Tisue.
3.a Ed, Mosby Co, (1966),
[6.]
J. Atañi, H.V. Srinivas.
Ehlers-Danlos syndrome and cardiovascular abnormalities.
Chest., 63 (1973), pp. 47
[7.]
F. Lopez ruiz.
Síndrome de EhlersDanlos asociado a osteogénesis imperfecta.
Rev. CLín. Esp., 105 (1967), pp. 396
[8.]
A. Biering, T. Iversen.
Osteogénesis imperfecta associated with Ehlers-Danlos syndrome.
Acta Pediátrica, 44 (1955), pp. 279
[9.]
R.M. Goodman, N. Baba, Ch. Wooley.
Observations on the heart in a case combined Ehlers-Danlos and Marfan syndrome.
Am. J. Card., 24 (1969), pp. 734
[10.]
A.P. Barabas.
«Heterogenetic of the Ehlers-Danlos syndrome: Description on. the basis defec (s).
Brit. Med. J, 2 (1967), pp. 612
[11.]
N.P. Beighto, F. Horan.
Ortho-paedic aspects of the Ehlers-Danlos syndrome.
Bone and Joint Surg., 51 (1969), pp. 444
[12.]
M.S. Lapagowker.
Cutis hiperlástica, the Ehlers-Danlos syndrome.
Am. J. Raentgenol, 82 (1960), pp. 232
[13.]
P. Beighton.
Cardic Abnormalities in the Ehlers-Danlos syndrome Brit.
Heart. J., 31 (1969), pp. 227
[14.]
H.F. Burnett.
Abdominal aortic aneurysmectomy in a 17 year-old patient with Ehlers-Danlos syndrome.
Case report and re-view of literature. Surgery, 74 (1973), pp. 217
[15.]
E.A. Wallach, E.F. Burkhart.
Ehlers-Danlos syndrome associated with the Tetralogy of Fallot.
Arch. Derm. Syph., 61 (1950), pp. 750
[16.]
D.H. Tucker, D.E. Miller, W.S. jacoby.
Ehlers-DAnlos syndrome with a sinus of Valsalva aneurysm and aortic insuficiency Sinalating Rheumatic Heart.
Disease. Am. J. Med., 35 (1963), pp. 689
[17.]
S. Inahori, R.M. Bannerman, C.J. Graf, J.C. Brennan.
Ehlers-Danlos syndrome with múltiple arterial lesions Am.
J. Med., 35 (1964), pp. 214
[18.]
C.J. Graf.
Spontaneus carotid-cavernous fístula and related contidions Arch.
Neurol, 13 (1965), pp. 662
[19.]
W. Mc farland, D.E. Fuller.
Mortality in Ehlers-Danlos syndrome due to spontaneus ruptura of large arteries.
New Engl. J. Med., 271 (1964), pp. 1309
[20.]
H.T. lynch, Al. L. Larsen, R. Wilson, Ch L. Magnuson.
Ehlers-Danlos syndrome and Congenital arteriovenous fistulae a clinicopathologic study of a family.
JAMA, 194 (1965), pp. 1011
[21.]
P.H. Beighton, L.J. Mudoch, T. wotteler.
Gastrointestinal complications of the Ehlers-Danlos sundrome.
Gut., 10 (1969), pp. 1004
[22.]
A. Mories.
Ehlers-Danlos syndrome with a report of a fatal case.
Scott. Med. J., 5 (1960), pp. 269
[23.]
J.W. Pemberton, H.M. Freeman, C.L. Shepens.
Familial retinal detachment in the Ehlers-Danlos syndrome.
Arch. Ophtalm., 76 (1966), pp. 716
[24.]
A. Mories.
Ehlers-Danlos syndrome and recurrent hemoptysis.
Ann. Intern.Med., 61 (1964), pp. 716
[25.]
P. Beighton.
Linked recessive inheritancé in the Ehlers-Danlos syndrome.
Brit. Med. J., 3 (1968), pp. 409
[26.]
D.S. Jackson, J.P. Bentley.
B.S. Gould, (1967),
[27.]
L.H. Jansen.
Ehlers-Danlos syndrome Dermatologico, 110 (1955), pp. 108
[28.]
R. Lister, A. Noglieron, L. Sanchez mendel.
Plasma tromboplastic component deficiency in the Ehlers-Danlos syndrome.
Ann. Inter. Med., 53 (1960), pp. 388
[29.]
P. Fontl, K.N. Moris, R.S. Sawers.
Repair of cardiac defect in patient with Ehlers-Danlos syndrome an deficiency of Hageman factor.
Brit. Med. J., 1 (1961), pp. 1202
Copyright © 1977. Sociedad Española de Neumología y Cirugía Torácica
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