海外マルファン情報

米国マルファン症候群患者団体The Marfan Foundationからの情報を中心に、マルファン症候群や関連疾患についての海外情報を翻訳して発信します。

Entries from 2023-08-01 to 1 month

LDSガイドラインの改訂に向けて ~妊娠・出産~

LDS Guidelines: Then vs. Now 42:15-44:56 In terms of pregnancy I don't know that there's a heck of a lot of new changes either since 2024, or 2014, something to be aware of is that the angiotensin receptor blockers that Dr. Dietz was descr…

LDSガイドラインの改訂に向けて ~整形外科疾患~

LDS Guidelines: Then vs. Now 40:04-42:13 In terms of orthopedics, again when we were focused and had our knowledge mainly about Loeys-Dietz types one and two. We did see that many patients had cervical spine instability, so their spine and…

LDSガイドラインの改訂に向けて ~血管の外科手術~

LDS Guidelines: Then vs. Now 39:07-40:01 So in terms of vascular surgery as well we really want to make sure in the upcoming guidelines that we get our vascular surgery colleagues involved. This is a slide again. My, some of you might have…

LDSガイドラインの改訂に向けて ~避けるべき薬~

LDS Guidelines: Then vs. Now 33:36-38:54 So there are other medications that we suggested avoiding back in 2014. 2014年のガイドラインでは、避けることが推奨されていた薬があります。 One was a class of medications commonly used to treat migra…

LDSガイドラインの改訂に向けて ~LDSマウスに対するカルシウムチャネル遮断薬の影響~

LDS Guidelines: Then vs. Now 31:08-33:34 So we have now directly tested this in mouse models of Loeys-Dietz syndrome. I'm here using a calcium channel blocker, a common one called amlodipine. Importantly, in these studies it didn't matter …

LDSガイドラインの改訂に向けて ~カルシウムチャネル遮断薬~

LDS Guidelines: Then vs. Now 29:04-31:03 So we, as we've talked about we were, we and other groups are trying to understand what medications might be good for someone with a vascular connective tissue disorder. A different question that I …

LDSガイドラインの改訂に向けて ~心血管系の管理~

LDS Guidelines: Then vs. Now 27:01-28:55 In terms of cardiovascular management, what we would say and continue to say is that people should be getting at least yearly echocardiograms. Clearly we're doing that a little bit more frequently i…

リンカーンの希望

2022年11月21日 生まれたばかりのリンカーンには、ピエール・ロバン・シーケンス(小顎症、口蓋裂、舌下垂)の特徴がみられました。さらに、両目は斜視で、透き通るような柔らかい皮膚、足の指は長く、親指は内側を向いていました。口蓋裂があったことから遺…

LDSガイドラインの改訂に向けて ~LDSのタイプ別重症度~

LDS Guidelines: Then vs. Now 26:27-26:59 Just as a reminder, you know, there is overlapping severity in all different types of Loeys-Dietz syndrome, kind of big picture in general. What we kind of say is TGFBR1 and 2 tend to, as a whole, b…

LDSガイドラインの改訂に向けて ~危険な変異型~

LDS Guidelines: Then vs. Now 24:41-26:25 In our 2014 guidelines we didn't really address any specific variant information and so that means that, you know, we have these six different types of Loeys-Dietz syndrome with gene variants or gen…

LDSガイドラインの改訂に向けて ~脚の動脈瘤~

LDS Guidelines: Then vs. Now 24:14-24:39 Some questions have come up about well what about in your legs, what about aneurysms there? They have been reported in the literature, especially aneurysms kind of behind your knees called popliteal…

LDSガイドラインの改訂に向けて ~画像検査~

LDS Guidelines: Then vs. Now 21:49-24:13 In terms of vascular imaging guidelines these have generally remained the same. In the very beginning we are recommending head to pelvis imaging at baseline as well as imaging about every two years.…