OLGU SUNUMLARI
Hiyalin Fibromatozis Sendromu: Erişkin ve İleri Evrede, Nadir Görülen Bir Vakanın Sunumu
Hyaline Fibromatosis Syndrome: Presentation of a Rare Case in Adult and Advanced Stage
Received Date : 22 Aug 2020
Accepted Date : 13 Nov 2020
Available Online : 05 May 2021
Sevinç KÜLEKÇİOĞLUa, Merve AKYÜZa
aClinic of Physical Therapy and Rehabilitation, Bursa City Hospital, Bursa, TURKEY
Doi: 10.31609/jpmrs.2020-78486 - Makale Dili: EN
J PMR Sci. 2021;24(2):180-2
ÖZET
Hiyalin fibromatozis sendromu (HFS), özellikle erken çocukluk
döneminde ortaya çıkan ve hastaların nadiren erişkinliğe
ulaşabildiği, ender görülen bir kalıtsal hastalıktır. Vücut dokularında
anormal hiyalin birikimi ile karakterize olup, bu birikim giderek artan
şekil ve fonksiyon bozukluklarına neden olur. Tedavi edilmezler ise
hastaların çoğunda ciddi fiziksel kısıtlamalar gelişir. Eklemlerde, kontraktürler
gelişmeden başlayan erken rehabilitasyon programları,
hastaları fonksiyonel olarak aktif tutup, sakatlık gelişmesini engelleyebilir.
Bu olgu sunumu ile yaygın nodülleri, ağrılı eklem kontraktürleri
ve diş eti hiperplazisi olan erişkin bir hasta tartışıldı,
HFS’nin erken tanı ve tedavisinin önemi, ebeveynlere genetik
danışmanlık verilmesinin gerekliliği vurgulandı.
Anahtar Kelimeler: Hiyalin fibromatozis sendromu; eklem kontraktürleri; rehabilitasyon
ABSTRACT
Hyaline fibromatosis syndrome (HFS) is a rare hereditary
disease that occurs especially in early childhood and patients rarely
reach adulthood. It is characterized by abnormal accumulation of hyaline
material in body tissues, and this accumulation causes progressive
deformity and dysfunction. If they are not treated, most patients will
develop severe physical limitations. Early rehabilitation programs that
start before development of contractures in the joints can keep patients
functionally active and prevent the development of disability. With this
case report, an adult patient with diffuse nodules, painfull joint contractures
and gingival hyperplasia was discussed. The importance of
early diagnosis and treatment of HFS and the necessity of genetic counseling
for parents were emphasized.
Keywords: Hyaline fibromatosis syndrome; joint contractures; rehabilitation
REFERENCES
- Lyra ALCO, Razo LM, Estrella RR, et al. Juvenile hyaline fibromatosis: an unusual clinical presentation. Dermatol Online J. 2019;25:13030/qt75082292. [PubMed]
- Härter B, Benedicenti F, Karall D, et al. Clinical aspects of hyaline fibromatosis syndrome and identification of a novel mutation. Mol Genet Genomic Med. 2020;8:e1203. [Crossref] [PubMed] [PMC]
- Folpe AL, Schoen M, Kang S. Juvenile hyaline fibromatosis. Mayo Clin Proc. 2020;95:328-9. [Crossref] [PubMed]
- Murray J. On three peculiar cases of molluscum fibrosum in children in which one or more of the following conditions were observed: hypertrophy of the gums, enlargement of the ends of the fingers and toes, numerous connecive-tissue tumours on the scalp, &c. Med Chir Trans. 1873;56:235-254.1. [Crossref] [PubMed] [PMC]
- Nofal A, Sanad M, Assaf M, et al. Juvenile hyaline fibromatosis and infantile systemic hyalinosis: a unifying term and a proposed grading system. J Am Acad Dermatol. 2009;61:695-700. [Crossref] [PubMed]
- Dowling O, Difeo A, Ramirez MC, et al. Mutations in capillary morphogenesis gene-2 result in the allelic disorders juvenile hyaline fibromatosis and infantile systemic hyalinosis. Am J Hum Genet. 2003;73:957-66. [Crossref] [PubMed] [PMC]
- Casas-Alba D, Martínez-Monseny A, Pino-Ramírez RM, et al. Hyaline fibromatosis syndrome: clinical update and phenotype-genotype correlations. Hum Mutat. 2018;39:1752-63. [Crossref] [PubMed]
- Cozma C, Hovakimyan M, Iurașcu MI, et al. Genetic, clinical and biochemical characterization of a large cohort of patients with hyaline fibromatosis syndrome. Orphanet J Rare Dis. 2019;14:209. [Crossref] [PubMed] [PMC]
- Ravikumar VR, Veerappan Ramamoorthi RG, Manisankar S. Juvenile hyaline fibromatosis in siblings. Indian J Pathol Microbiol. 2019;62:300-2. [Crossref] [PubMed]
- Urbina F, Sazunic I, Murray G. Infantile systemic hyalinosis or juvenile hyaline fibromatosis? Pediatr Dermatol. 2004;21:154-9. [Crossref] [PubMed]