ルリッシュ症候群
WordNet
- a pattern of symptoms indicative of some disease
- a complex of concurrent things; "every word has a syndrome of meanings"
PrepTutorEJDIC
- (疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2012/12/10 13:20:21」(JST)
[Wiki en表示]
| Aortoiliac occlusive disease |
| Classification and external resources |
Plate from Gray's Anatomy showing the abdominal aorta and the iliac arteries. |
| ICD-9 |
444.0 |
| DiseasesDB |
29335 |
| eMedicine |
med/2759 |
| MeSH |
D007925 |
Leriche's syndrome (X-ray)
In medicine, aortoiliac occlusive disease, also known as Leriche's syndrome and Leriche syndrome, is atherosclerotic occlusive disease involving the abdominal aorta and/or both of the iliac arteries[disambiguation needed].
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Contents
- 1 Symptoms
- 2 Treatment
- 3 Discovery
- 4 See also
- 5 References
- 6 External links
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Symptoms
Classically, it is described in male patients as a triad of symptoms consisting of:
- claudication of the buttocks and thighs
- absent or decreased femoral pulses
- impotence
This combination is known as Leriche syndrome.[1] However, any number of symptoms may present, depending on the distribution and severity of the disease, such as muscle atrophy and slow wound healing in the legs. Investigations: Angiography (aortography) Doppler
Treatment
- Kissing ballon angioplasty +/- stent
- Aortoiliac[disambiguation needed] bypass graft
- Axillofemoral[1][2] and femoral-femoral bypass (sometimes abbreviated "ax-fem fem-fem")
Discovery
The condition was first described by Robert Graham[disambiguation needed] in 1814, but the condition with its triad of symptoms was ascribed to René Leriche.[3] Leriche, a French surgeon, linked the pathophysiology with the anatomy of the condition. John Hunter's dissections of atherosclerotic aortic bifurcations from the late 18th century are preserved at the Hunterian Museum, but Leriche was first to publish on the subject based on a patient he treated with the condition at the age of 30. Following treatment the 30 year old was able to walk without pain and maintain an erection.[citation needed]
See also
References
- ^ Lee BY, Guerra J (1994). "Axillofemoral bypass graft in a spinal cord injured patient with impending gangrene". The Journal of the American Paraplegia Society 17 (4): 171–6. PMID 7869060.
- ^ McKinsey JF (1995). "Extra-anatomic reconstruction". Surg. Clin. North Am. 75 (4): 731–40. PMID 7638717.
- ^ synd/2747 at Who Named It?
External links
- Aortoiliac occlusive disease vascularweb.org
- Leriche's syndrome - whonamedit.com
- Coronal CT of Leriche' syndrome - learningradiology.com
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Cardiovascular disease: vascular disease · Circulatory system pathology (I70–I99, 440–456)
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Arteries, arterioles
and capillaries |
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Inflammation
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Arteritis (Aortitis) · Buerger's disease
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Arterial occlusive disease/
peripheral vascular disease
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Arteriosclerosis
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Atherosclerosis (Foam cell, Fatty streak, Atheroma, Intermittent claudication) · Monckeberg's arteriosclerosis · Arteriolosclerosis (Hyaline, Hyperplastic, oxycholesterol, cholesterol, LDL, trans fat)
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Stenosis
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Renal artery stenosis · Carotid artery stenosis
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Other
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Fibromuscular dysplasia · Degos disease · Aortoiliac occlusive disease · Raynaud's phenomenon/Raynaud's disease · Erythromelalgia
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Aneurysm/dissection/
pseudoaneurysm
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torso: Aortic aneurysm (Thoracic aortic aneurysm, Abdominal aortic aneurysm) · Aortic dissection · Coronary artery aneurysm
head/neck: Cerebral aneurysm · Intracranial berry aneurysm · Carotid artery dissection · Vertebral artery dissection · Familial aortic dissection
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Vascular malformation
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Arteriovenous malformation · Arteriovenous fistula · Telangiectasia (Hereditary hemorrhagic telangiectasia)
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Vascular nevus
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Spider angioma · Halo nevus · Cherry hemangioma
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| Veins |
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Inflammation
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Phlebitis
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Venous thrombosis/
Thrombophlebitis
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primarily lower limb (Deep vein thrombosis)
abdomen (Hepatic veno-occlusive disease, Budd–Chiari syndrome, May-Thurner syndrome, Portal vein thrombosis, Renal vein thrombosis)
upper limb/torso (Paget-Schroetter disease, Mondor's disease)
head (Cerebral venous sinus thrombosis)
Post-thrombotic syndrome
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Varicose veins
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Varicocele · Gastric varices · Portacaval anastomosis (Hemorrhoid, Esophageal varices, Caput medusae)
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Other
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Superior vena cava syndrome · Inferior vena cava syndrome · Venous ulcer · Chronic venous insufficiency · Chronic cerebrospinal venous insufficiency
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| Arteries or veins |
Vasculitis · Thrombosis · Embolism (Pulmonary embolism, Cholesterol embolism, Paradoxical embolism) · Angiopathy (Macroangiopathy, Microangiopathy)
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| Blood pressure |
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Hypertension
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Hypertensive heart disease · Hypertensive nephropathy · Essential hypertension · Secondary hypertension (Renovascular hypertension) · Pulmonary hypertension · Malignant hypertension · Benign hypertension · Systolic hypertension · White coat hypertension
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Hypotension
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Orthostatic hypotension
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anat (a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot
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noco/syva/cong/lyvd/tumr, sysi/epon, injr
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proc, drug (C2s+n/3/4/5/7/8/9)
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UpToDate Contents
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English Journal
- Leriche syndrome, a rare case of intractable hypertension.
- Schilcher A, Grüssing H, Meissnitzer M, Hölzenbein T, Weitgasser R.SourceDepartment of Internal Medicine, Diakonissen Hospital Salzburg, Guggenbichlerstraße. 20, 5026, Salzburg, Austria.
- Wiener klinische Wochenschrift.Wien Klin Wochenschr.2012 Apr 14. [Epub ahead of print]
- PMID 22527820
- Spontaneous coronary artery dissection associated with Leriche syndrome.
- Karabay CY, Can MM, Tanboga IH, Aung SM, Kalayci A, Gecmen C, Kirma C.SourceCardiology Clinic, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
- Cardiovascular journal of Africa.Cardiovasc J Afr.2012 Apr 12;23(3):e3-5. doi: 10.5830/CVJA-2011-012.
- Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome. SCAD has been observed in three groups of patients; those with coronary atherosclerosis, women in the peripartum period, and those with an idiopathic cause. SCAD may also be associated with other conditions. He
- PMID 22555755
Japanese Journal
- Leriche Syndrome Detected by 64-MDCT
- Norimatsu Kenji,Shiga Yuhei,Miura Shin-ichiro,Saku Keijiro
- Internal Medicine 50(11), 1263-1263, 2011
- NAID 130000770486
- 症例 Leriche症候群と冠動脈狭窄を合併した胃癌の1例
Related Links
- This combination is known as Leriche syndrome.[1] However, any number of symptoms may present, depending on the distribution and severity of the disease , such as muscle atrophy and slow wound healing in the legs. Investigations: ...
- Leriche syndrome, also referred to as aortoiliac occlusive disease, is due to thrombotic occlusion of the abdominal aorta just above ... Leriche syndrome was named after René Leriche, a famous French surgeon who successfully operated “his” ...
★リンクテーブル★
[★]
- 英
- Leriche syndrome, Leriche's syndrome
- 同
- 大動脈分岐部慢性閉塞症 chronic occlusion of the terminal abdominal aorta、腹部大動脈分岐部閉塞症 (YN)
- chronic aortoiliac occlusive disease
- (国試)Leriche症候群
- 関
- 大動脈腸骨動脈閉塞症
[show details]
ルリッシュ症候群 : 94 件
ルリーシュ症候群 : 39 件
レーリッヘ症候群 : 約 5 件
ルリッシ症候群 :
ルリッシュ症候群 : 71 件
レリシュ症候群 : 15 件
ルリィシュ症候群 : 2 件
ルリーシュ症候群 : 34 件
ルリッシ症候群 Leriche :
ルリッシュ症候群 Leriche : 25 件
レリシュ症候群 Leriche : 5 件
ルリィシュ症候群 Leriche :
ルリーシュ症候群 Leriche : 16 件
- 腹部大動脈下部から総腸骨動脈領域に慢性的な血栓性動脈閉塞を来す疾患の総称。
- 比較的若い男性に多い(YN.C-155)。35-60歳の男性(医学事典)
- 病因：直接の原因は血栓、塞栓による。多くは高度の動脈硬化(粥状硬化)によるものが多い。原因疾患は閉塞性動脈硬化症、大動脈炎症候群など。
- 腰部・両側下肢の易疲労感、間欠性跛行、両側下肢の筋萎縮・蒼白・疼痛・冷感・脱毛、両側下肢動脈拍動の減弱・消失、陰茎勃起困難(陰萎) ← 壊死・潰瘍はない。静脈の血栓塞栓、静脈炎じゃないから？
- 治療：血栓内膜摘除術、閉塞部切除Y型人工血管置換移植術(Y型グラフトによるバイパス術)、(全身状態不良例に対して)腋窩動脈-両総大腿動脈人工血管バイパス移植術、経皮経管血管形成術(PTA)
国試
[★]