Journals / Türk Oftalmoloji Dergisi / 2015 / Cilt: 45 - Sayı: 6

Comet Lesions in Patients with Pseudoxanthoma Elasticum

Psödoksantoma Elastikum Hastalarında Kuyruklu Yıldız (Comet) Bulgusu

Pages
268–270
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Herein, we present two PXE cases with comet lesions

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Pseudoxanthoma elasticum (PXE) is a genetic multisystemic disorder affecting the skin, eyes and cardiovascular system.
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Key Findings & Data:Other significant ocular findings are peau d’orange appearance, optic disc drusen, pattern dystrophy-like macular appearance, comet lesions, and choroidal neovascularization.
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Conclusion & Impact:Herein, we present two PXE cases with comet lesions
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Pseudoxanthoma elasticum (PXE) is a genetic multisystemic disorder affecting the skin, eyes and cardiovascular system. Basic fundoscopic findings in PXE result from Bruch’s membrane involvement. The most important fundoscopic findings are angioid streaks. Other significant ocular findings are peau d’orange appearance, optic disc drusen, pattern dystrophy-like macular appearance, comet lesions, and choroidal neovascularization. Comet lesions are a pathognomonic ocular finding for PXE. The presence of both angioid streaks in the fundus and typical skin lesions should alert clinicians to PXE. Herein, we present two PXE cases with comet lesions

Özet

Psödoksantoma elastikum (PKE) deri, kardiyovasküler sistem ve göz tutulumu olan multisistemik, genetik bir hastalıktır. PKE göz dibindeki temel bulgularını Bruch membranını etkileyerek yapar. Göz dibinde yol açtığı en önemli bulgu anjiyoid striyadır. Diğer önemli göz bulgularından bazıları ise peau d'orange, optik disk druzeni, patern distrofi benzeri görünüm, kuyruklu yıldız (comet) bulgusu ve koroid neovaskülarizasyonudur. Kuyruklu yıldız bulgusu PKE hastalığı için patognomoniktir. Göz dibinde anjiyoid striyalar görülen hastalarda beraberinde deri lezyonlarının varlığı ile akla PKE gelmelidir. Bu makalede kuyruklu yıldız bulgusu olan iki olgu sunulmaktadır

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Cite This Article

ALTUNSOY, M., ŞAHAN, B., TATLIPINAR, S. (2022). Comet Lesions in Patients with Pseudoxanthoma Elasticum. Türk Oftalmoloji Dergisi, Cilt: 45 - Sayı: 6, 268–270. https://ajindex.com/articles/638016

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References (15)

  1. Hu X, Plomp AS, van Soest S, Winjholds J, de Jong PT, Bergen AA. Pseudoxanthoma elasticum: a clinical, histopathological and molecular update. Surv Ophthalmol. 2003;48:424-438
  2. Chassing N, Martin L, Calvas P, Le Bert M, Hovnanian A. Pseudoxanthoma elasticum: a clinical, pathophysiological and genetic update including 11 novel ABCC6 mutations. J Med Genet. 2005;42:881-892
  3. Finger RP, Charbel İssa P, Ladewig MS, Götting C, Szliska C, Scholl HP, Holz FG. Pseudoxanthoma elasticum: genetics, clinical manifestations and therapeutic approaches. Surv Ophtalmol. 2009;54:272-285
  4. Gass JD. Photo Essay: “Comet” lesion: an ocular sign of pseudoxanthoma elasticum. Retina. 2003;23:729-30
  5. Plomp AS, Florijn RJ, Ten BJ, Castle B, Kingston H, Martín-Santiago A, Gorgels TG, de Jong PT, Bergen AA. ABCC6 mutations in pseudoxanthoma elasticum: an update including eight novel ones. Mol Vis. 2008;14:118-124
  6. Gass JD. Anjioid streaks and associated diseases. Stereoscopic Atlas of Macular Diseases; Diagnosis and Treatment (4th edition). St Louis; CV Mosby. 1997:118-125
  7. Tatlıpınar S, Keskin N, Yaylalı V, Yıldırım C, Özden S. Groenblad-Strandberg Sendromu: Bir Olgu Sunumu. MN Oftalmoloji. 2005;12;166-167
  8. Roy FH. Anjioid Streaks, in Roy FH (ed): Ocular Differential Diagnosis. Philedelphia, Lippincott Williams&Wilkins. 2002:526-527
  9. Gass JD, Clarkson JG. Anjioid streaks and disciform macular detachment in Paget’s Diseases. Am J Ophthalmol. 1973;75:567-586
  10. Nakagawa S, Yamashiro K, Tsujikawa A, Otani A, Tamura H, Ooto S, Yoshimura N. The time course changes of choroidal neovascularization in angioid streaks. Retina. 2013;33:825-833
  11. Gliem M, Finger RP, Fimmers R, Brinkmann CK, Holz FG, Charbel Issa P. Treatment of choroidal neovascularization due to angioid streaks: a comprehensive review. Retina. 2013;33:1300-1314
  12. Gliem M, De Zaeytijd J, Finger RP, Holz FG, Leroy BP, Charbel Issa P. An update on the ocular phenotype in patients with pseudoxanthoma elasticum. Front Genet. 2013;4:1-13
  13. De Zaeytijd J, Vanakker OM, Coucke PJ, De Paepe A, De Laey JJ, Leroy BP. Added value of infrared, red-free and autofluorescence fundus imaging in pseudoxanthoma elasticum. Br J Ophthalmol. 2010;94:479-486
  14. Plomp AS, Toonstra J, Bergen AA, van Dijk MR, de Jong PT. Proposal for updating the pseudoxanthoma elasticum classification system and a review of the clinical findings. Am J Med Genet A. 2010;152A:1049-1058
  15. Laube S, Moss C. Pseudoxanthoma elasticum.