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Sneddon's syndrome: case report and review of its relationship with antiphospholipid syndrome.
[sneddon syndrome]
The
Sneddon
's
syndrome
is
a
rare
disorder
characterized
by
the
occurrence
of
cerebrovascular
disease
associated
with
livedo
reticularis
.
The
antiphospholipid
syndrome
is
the
most
frequent
type
of
acquired
thrombophilia
,
defined
by
the
occurrence
of
thrombosis
or
pregnancy
morbidity
in
the
presence
of
persistently
positive
antiphospholipid
antibodies
.
Approximately
80
%
of
Sneddon
's
syndrome
patients
have
an
antiphospholipid
antibody
marker
.
These
antibodies
may
play
a
pathogenetic
role
in
some
cases
of
Sneddon
's
syndrome
,
and
many
authors
consider
these
two
syndromes
as
the
same
entity
.
Although
clinical
features
of
antiphospholipid
syndrome
and
Sneddon
's
syndrome
may
overlap
,
there
is
a
distinction
between
clinical
and
laboratory
evidence
suggesting
that
these
two
entities
are
different
diseases
.
A
recent
finding
of
coagulopathies
,
including
elevated
levels
of
coagulation
factor
VII
,
decreased
levels
of
protein
S
,
and
activated
protein
C
in
Sneddon
's
syndrome
patients
suggested
a
possible
biological
link
between
the
vasculopathy
and
a
primary
coagulopathy
.
Moreover
,
the
clinical
course
seems
to
be
progressive
in
Sneddon
's
syndrome
patients
and
includes
increase
of
disability
and
cognitive
deterioration
,
more
arterial
involvement
,
and
the
antiphospholipid
syndrome
shows
a
more
benign
course
.
Both
syndromes
share
clinical
and
laboratory
features
,
and
whether
Sneddon
's
syndrome
represents
a
spectrum
of
antiphospholipid
syndrome
remains
unclear
.
Sneddon
's
syndrome
patients
have
a
worse
prognosis
and
may
represent
a
subgroup
of
patients
who
demands
more
rigorous
follow-up
.
It
is
important
to
recognize
the
Sneddon
's
syndrome
,
particularly
because
stroke
episodes
may
be
prevented
through
appropriate
treatment
.
Diseases
Validation
Diseases presenting
"elevated levels"
symptom
22q11.2 deletion syndrome
adrenal incidentaloma
adrenomyeloneuropathy
alexander disease
aniridia
cadasil
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congenital adrenal hyperplasia
epidermolysis bullosa simplex
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hereditary cerebral hemorrhage with amyloidosis
inclusion body myositis
kabuki syndrome
omenn syndrome
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primary effusion lymphoma
pyruvate dehydrogenase deficiency
scrub typhus
sneddon syndrome
werner syndrome
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wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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