嚢胞性中膜変性? CMD
WordNet
- the process of declining from a higher to a lower level of effective power or vitality or essential quality (同)devolution
- passing from a more complex to a simpler biological form (同)retrogression
- dividing an animal into right and left halves (同)median
- of or relating to or resembling a cyst
- of or relating to a normal cyst (as the gallbladder or urinary bladder)
- a closed sac that develops abnormally in some body structure
PrepTutorEJDIC
- 退歩,退化,墜落
- 中間の,中間に位置する / 平均の,並なみの
- 胞嚢(ほうのう)性の
- 胞嚢(ほうのう)
- mediumの複数形
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/01/29 08:47:02」(JST)
[Wiki en表示]
Familial thoracic aortic aneurysm |
Classification and external resources |
Micrograph showing cystic medial degeneration, the histologic correlate of familial thoracic aortic aneurysms. The image shows abundant basophilic ground substance in the tunica media (blue at top of image) and disruption of the elastic fibers. The tunica adventitia (yellow at bottom of image) with vaso vasorum is also seen. Movat's stain. |
ICD-9 |
441.00 |
OMIM |
607086 |
DiseasesDB |
30073 |
eMedicine |
emerg/28 |
Familial thoracic aortic aneurysm (also referred to as familial aortic dissection or cystic medial necrosis of aorta)[1] is an autosomal dominant[1] disorder of large arteries.
There is an association between familial thoracic aortic aneurysm, Marfan syndrome and massive baclofen overdose as well as other hereditary connective tissue disorders.
Contents
- 1 Presentation
- 2 Genetics
- 3 Terminology
- 4 References
- 5 See also
- 6 External links
|
Presentation
A degenerative breakdown of collagen, elastin, and smooth muscle caused by aging contributes to weakening of the wall of the artery.[2]
In the aorta, this can result in the formation of a fusiform aneurysm. There is also increased risk of aortic dissection.
Genetics
Types include:
Type |
OMIM |
Gene |
Locus |
AAT1 |
607086 |
|
11q23.3-q24 |
AAT4 |
132900 |
MYH11 |
16p |
AAT6 |
611788 |
ACTA2 |
10q |
Terminology
It is sometimes called "Erdheim cystic medial necrosis of aorta", after Jakob Erdheim.[3][4]
The term "cystic medial degeneration" is sometimes used instead of "cystic medial necrosis", because necrosis is not always found.
References
- ^ a b Online 'Mendelian Inheritance in Man' (OMIM) 607086
- ^ Wiesenfarth, John, http://www.emedicine.com/emerg/topic28.htm, October 4, 2005
- ^ synd/2409 at Who Named It?
- ^ J. Erdheim. Medionecrosis aortae idiopathica (cystica). Archiv für pathologische Anatomie und Physiologie und für klinische Medizin, 1929, 273: 454-479.
See also
External links
- GeneReview/NCBI/NIH/UW entry on Thoracic Aortic Aneurysms and Aortic Dissections
- 1449852953 at GPnotebook
Cardiovascular disease: vascular disease · Circulatory system pathology (I70–I99, 440–456)
|
|
Arteries, arterioles
and capillaries |
Inflammation
|
Arteritis (Aortitis) · Buerger's disease
|
|
Arterial occlusive disease/
peripheral vascular disease
|
Arteriosclerosis
|
Atherosclerosis (Foam cell, Fatty streak, Atheroma, Intermittent claudication) · Monckeberg's arteriosclerosis · Arteriolosclerosis (Hyaline, Hyperplastic, oxycholesterol, cholesterol, LDL, trans fat)
|
|
Stenosis
|
Renal artery stenosis · Carotid artery stenosis
|
|
Other
|
Fibromuscular dysplasia · Degos disease · Aortoiliac occlusive disease · Raynaud's phenomenon/Raynaud's disease · Erythromelalgia
|
|
|
Aneurysm/dissection/
pseudoaneurysm
|
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
|
|
Vascular malformation
|
Arteriovenous malformation · Arteriovenous fistula · Telangiectasia (Hereditary hemorrhagic telangiectasia)
|
|
Vascular nevus
|
Spider angioma · Halo nevus · Cherry hemangioma
|
|
|
Veins |
Inflammation
|
Phlebitis
|
|
Venous thrombosis/
Thrombophlebitis
|
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
|
|
Varicose veins
|
Varicocele · Gastric varices · Portacaval anastomosis (Hemorrhoid, Esophageal varices, Caput medusae)
|
|
Other
|
Superior vena cava syndrome · Inferior vena cava syndrome · Venous ulcer · Chronic venous insufficiency · Chronic cerebrospinal venous insufficiency
|
|
|
Arteries or veins |
Vasculitis · Thrombosis · Embolism (Pulmonary embolism, Cholesterol embolism, Paradoxical embolism) · Angiopathy (Macroangiopathy, Microangiopathy)
|
|
Blood pressure |
Hypertension
|
Hypertensive heart disease · Hypertensive nephropathy · Essential hypertension · Secondary hypertension (Renovascular hypertension) · Pulmonary hypertension · Malignant hypertension · Benign hypertension · Systolic hypertension · White coat hypertension
|
|
Hypotension
|
Orthostatic hypotension
|
|
|
|
anat (a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot
|
noco/syva/cong/lyvd/tumr, sysi/epon, injr
|
proc, drug (C2s+n/3/4/5/7/8/9)
|
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UpToDate Contents
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English Journal
- Spontaneous rupture of an isolated iliac artery dissection in a young man because of cystic medial degeneration Erdheim-Gsell.
- Dueppers P1, Jankowiak S2, Schelzig H3, Wagenhäuser MU3, Oberhuber A3.
- Annals of vascular surgery.Ann Vasc Surg.2015 Apr;29(3):596.e11-3. doi: 10.1016/j.avsg.2014.10.041. Epub 2015 Jan 14.
- BACKGROUND: Rupture of isolated iliac artery dissections is a life-threatening event and has not been associated with cystic medial degeneration (CMD) Erdheim-Gsell.METHODS: A young man presented to our emergency unit in a critical hemodynamic condition. Computed tomography scan feigned the rupture
- PMID 25596406
- Massive carotid artery aneurysm presenting as an oropharyngeal swelling in a young woman.
- Chang KH1, Cotter J1, McGreal GT1.
- BMJ case reports.BMJ Case Rep.2015 Jan 30;2015. pii: bcr2014206810. doi: 10.1136/bcr-2014-206810.
- A 28-year-old woman presented to the emergency department with a 5-day history of a sore throat and a pharyngeal swelling that increased in size. The patient was previously investigated for Marfan's syndrome after episodes of bilateral spontaneous pneumothoraces but did not meet the criteria for dia
- PMID 25636627
- Identification of three particular morphological phenotypes in sporadic thoracic aortic aneurysm: phenotype III as sporadic thoracic aortic aneurysm biomarker in aged individuals.
- Balistreri CR1, Maresi E, Pisano C, Di Maggio FM, Vaccarino L, Caruso C, Lio D, Ruvolo G, Candore G.
- Rejuvenation research.Rejuvenation Res.2014 Apr;17(2):192-6. doi: 10.1089/rej.2013.1505. Epub 2014 Apr 8.
- Aging has a striking impact on the heart and the vascular system, and particularly on the large elastic arteries (i.e., aorta), resulting in a multitude of changes at different structural and functional levels. As result, medial degeneration (MD) occurs. A characteristic example of MD is sporadic th
- PMID 24066724
Japanese Journal
- Positive Correlation Between the Dysregulation of Transforming Growth Factor-β1 and Aneurysmal Pathological Changes in Patients With Marfan Syndrome
- Kim Koung Li,Yang Jeong Hoon,Song Sun-Hwa,Kim Ji Yeon,Jang Shin Yi,Kim Jeong-Min,Kim Jee-Ah,Sung Ki-Ick,Kim Young-Wook,Suh Yeon-Lim,Suh Wonhee,Kim Duk-Kyung
- Circulation Journal 77(4), 952-958, 2013
- … Background: Our goal was to investigate the correlation between the dysregulation of transforming growth factor-β1 (TGF-β1) and cystic medial degeneration in the aortic aneurysmal tissues of in Marfan syndrome (MFS) patients. …
- NAID 130003361588
- Aneurysm of the Internal Mammary Artery with Cystic Medial Degeneration
- Okura Yuji,Kawasaki Takashi,Hiura Tohru,Seki Hiroshi,Saito Hirofumi
- Internal Medicine 51(17), 2355-2359, 2012
- … Given that a rupture of the aneurysm could have been life-threatening, it was removed surgically, and found to possess a paper-thin arterial wall with cystic medial degeneration. …
- NAID 130002062367
- RECS1 is a Negative Regulator of Matrix Metalloproteinase-9 Production and Aged RECS1 Knockout Mice are Prone to Aortic Dilation(EXPERIMENTAL INVESTIGATION)
- Zhao Hanjun,Ito Akihiko,Sakai Naohiko,Matsuzawa Yuji,Yamashita Shizuya,Nojima Hiroshi
- Circulation journal : official journal of the Japanese Circulation Society 70(5), 615-624, 2006-04-20
- … Background RECS1 is a mechanical stress responsive gene and RECS1 knockout (KO) mice (older than 14 months) are prone to cystic medial degeneration (CMD). …
- NAID 110004720684
Related Links
- [edit] Terminology. It is sometimes called "Erdheim cystic medial necrosis of aorta ", after Jakob Erdheim. The term "cystic medial degeneration" is sometimes used instead of "cystic medial necrosis", because necrosis is not always found.
- Cystic medial necrosis: pathological findings and clinical implications. [Article in English, Portuguese]. Yuan SM, Jing H. Department of Cardiothoracic Surgery, Affiliated Hospital of Taishan Medical College, Taian 27100, Shandong Province, ...
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