[ATTR手术手术师的粉样化症:一种隐藏的,可治疗的全身疾病]
Helena Franziska Pernice1, Sebastian Spethmann2, Katrin Hahn3
1Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
概括
手腕道综合征 (CTS) 可能是转氨基粉症 (ATTR) 的早期迹象,这是一个严重的全身性疾病. 早期诊断和调查CTS对于识别和治疗这种可能致命的疾病至关重要.
科学领域:
- 神经学 神经学
- 类风湿病学 类风湿病学
- 心脏病学 心脏病学
背景情况:
- 管综合征 (CTS) 经常与全身性疾病有关.
- 晶氨基粉症 (ATTR) 是一种危及生命的疾病.
- 双边,复发或晚发的CTS可能表明ATTR氨基粉症.
研究的目的:
- 为了强调CTS和ATTR之间的关联.
- 概述在横手带中检测到的粉样性粉症的诊断步骤.
- 突出CTS作为潜在的系统性疾病早期指标.
主要方法:
- 审查CTS和ATTR氨基粉症之间的联系证据.
- 侧重于横带组织的组织病理学检查.
- 建议进行进一步的调查,包括血清检测,心脏评估和遗传检测.
主要成果:
- CTS,特别是在特定的患者群体中,经常与ATTR氨基粉症有关.
- 在横手带中检测出amyloid 需要进一步的诊断工作.
- 诊断步骤包括组织病理学,轻链血清检测,心脏评估和遗传检测.
结论:
- CTS可能是致命但可治疗的ATTR氨基粉症的关键早期迹象.
- 手部外科医生必须对CTS患者的全身疾病保持警.
- 建议对切除的组织进行常规的组织病理学检查.
相关概念视频
Atherosclerosis III: Management
293
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
293
Amyloid Fibrils
6.3K
6.3K
Amyloid Fibrils
11.5K
Amyloid fibrils are aggregates of misfolded proteins. Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils.
Amyloid deposits were observed as early as 1639 in the liver and the spleen. In 1854, Rudolph Virchow performed iodine staining,...
Amyloid deposits were observed as early as 1639 in the liver and the spleen. In 1854, Rudolph Virchow performed iodine staining,...
11.5K
Peripheral Artery Disease III: Interprofessional Care
221
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
221
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
434
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
434


