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[Sneddon syndrome: vasculitis or thrombotic disorder?].
[sneddon syndrome]
Livedo
reticularis
generalisata
(
LR
)
in
combination
with
affection
of
CNS
is
referred
to
as
Sneddon
's
syndrome
(
SNS
)
.
Latest
data
suggest
chronic
progressive
systemic
disorder
with
occlusion
of
small
and
medium
sized
vessels
(
e
.
g
.
,
cutis
,
brain
,
kidneys
,
heart
,
eyes
)
.
No
conclusive
etiology
is
known
,
though
there
are
correlations
to
the
antiphospholipid
syndrome
,
systemic
secondary
vasculitis
and
coagulopathies
.
Hereditary
and
toxic
factors
seem
to
play
a
role
in
pathogenesis
in
some
cases
.
Diagnostic
procedure
and
clinical
course
of
a
56
-
year
-old
woman
with
dementia
and
hemiparesis
proceeded
by
LR
is
reported
.
MRI-
,
SPECT-
and
TCD-findings
were
congruent
with
diffuse
ischemic
lesions
of
the
brain
due
to
affection
of
small
-
and
medium-sized
vessels
.
Histopathological
specimens
of
the
brain
,
meninges
and
cutis
were
non
diagnostic
.
Some
laboratory
findings
suggested
vasculitis
as
an
underlying
cause
.
LR
improved
under
immunosuppressive
therapy
with
prednisolone
and
azathioprin
.
SNS
does
not
seem
to
be
a
nosological
entity
.
A
differentiation
between
primary
(
idiopathic
)
and
secondary
SNS
is
useful
for
different
therapeutical
approaches
.
Diseases
Validation
Diseases presenting
"dementia"
symptom
adrenomyeloneuropathy
alexander disease
cadasil
canavan disease
carcinoma of the gallbladder
cushing syndrome
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
phenylketonuria
sneddon syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated