[PULMONARY EMBOLISM IN A PATIENT WITH KLINEFELTER SYNDROME]

Tomer Saad1, Victor Belsky2,3, Naim Mahrom1,3

  • 1Department of Medicine 'B', Sheba Medical Center, Tel-Hashomer.

Harefuah
|December 25, 2018
PubMed

Insights

Klinefelter syndrome (47, XXY), the most common male chromosomal abnormality, increases mortality risk. Patients with this condition have a higher likelihood of developing thrombosis and pulmonary embolism, requiring medical attention for prevention and treatment.

Area of Science:

  • Endocrinology
  • Genetics
  • Cardiovascular Medicine

Background:

  • Klinefelter syndrome (47, XXY) affects 0.15% of newborn males, representing the most frequent chromosomal aberration.
  • This condition is associated with increased mortality due to various health issues, including cardiovascular diseases, malignancies, and neurological disorders.

Observation:

  • A literature review indicates a higher incidence of thrombosis and pulmonary embolism in patients diagnosed with Klinefelter syndrome.
  • The underlying pathophysiological mechanisms for these thromboembolic events remain incompletely understood.

Findings:

  • Patients with Klinefelter syndrome exhibit an elevated risk for developing blood clots, specifically thrombosis and pulmonary embolism.
  • The association between Klinefelter syndrome and thromboembolic events is a significant clinical observation.

Implications:

  • Clinical vigilance is necessary for the prevention and management of thromboembolic events in individuals with Klinefelter syndrome.
  • Further research into the pathophysiology is crucial for developing targeted therapeutic strategies.
  • Early recognition and intervention can mitigate the risks associated with these serious complications.
Abstract

Related Concept Videos

Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
702
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
437
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
446
Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
633
Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
953
Pulmonary Tuberculosis II01:28

Pulmonary Tuberculosis II

Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
1.5K