Myopia in the Diagnosis of Marfan Syndrome: An Important Early Sign of a Systemic Condition

Bhavini B Prajapati1, Jennifer Monti2

  • 1Internal Medicine - Pediatrics, Maine Medical Center, Portland, USA.

Cureus
|May 4, 2022
PubMed

Insights

Marfan syndrome, a genetic disorder, can lead to aortic dissection. This case highlights a 48-year-old patient with Marfan syndrome presenting with a Stanford type A dissection.

Area of Science:

  • Cardiology
  • Genetics
  • Connective Tissue Diseases

Background:

  • Marfan syndrome is an inherited disorder affecting connective tissue.
  • It is a known risk factor for aortic dissection, particularly in younger individuals.

Observation:

  • A 48-year-old male presented with Stanford type A aortic dissection.
  • He had a history of ectopia lentis (lens dislocation) diagnosed in his thirties.
  • Abdominal striae were noted since adolescence.

Findings:

  • The patient's clinical presentation and history are consistent with Marfan syndrome.
  • The case illustrates a later-onset presentation of aortic dissection in a Marfan syndrome patient.

Implications:

  • This case underscores the importance of recognizing Marfan syndrome in patients with aortic dissection, regardless of age.
  • Early diagnosis and management of Marfan syndrome can help prevent life-threatening cardiovascular events like aortic dissection.

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