Beals VS Marfans

Beal’s syndrome refers to a more acute form of Marfans Syndrome. The major difference between the two is that in Beal’s syndrome, the heart is not affected, unlike Marfans syndrome. The major characteristics of Beals syndrome include, scrunched up, or abnormally shaped ears. As far as treatment of Beals is concerned, it is very much similar to that of Marfans syndrome.

People suffering from Beal’s syndrome are tall and thin, with disproportionately long arms and legs, gangly bodies, as well as narrow, elongated fingers. Other common features, which most Beal’s syndrome patients show, include moderate to severe scoliosis, or curvature of the spine, along with joint problems, as well as chest deformities. Beal’s syndrome is very much associated to Marfan syndrome, which also results in excessive tall stature and scoliosis.

As it is, most Beal’s syndrome, as well as Marfan syndrome patients have moderate to severe scoliosis, or curvature of the spinal cord. However, unlike Beal’s syndrome patients, Marfan syndrome patients suffer from additional symptoms, such as musculoskeletal abnormalities, eye disorders and heart problems. As it is, many of these symptoms, can eventually prove to be lethal and life threatening.

Apart from that, aortic aneurysms ruptures of the major arteries in the chest, as well as the abdomen, are also quite common in people suffering from Marfan syndrome.

As it is, Marfans syndrome can be quite lethal, as a major organ like the heart is affected. In fact, several well known people, like athletes and politicians, who had sudden death, are believed to have been suffering from Marfan syndrome. People suffering from Marfan syndrome have round 50 percent chances of passing the disorder to their upcoming generation.

Beal’s syndrome is believed to be caused by mutations, or changes, in the FBN2 gene, which is located in chromosome five; whereas, abnormalities in the TGF? signaling pathway are believed to cause the development of the Marfan phenotype. As a result of this, fibrillin gets incorporated into the connective tissue matrix, in a decreased and disordered manner. This results in the development of Marfans syndrome.

Beal’s syndrome, like Marfan syndrome, cause excessive height, along with long limbs. In some Marfan patients, the lens of the eye, that focuses images on the retina, may often move upward, resulting in distorted vision. Along with that, joint problems, as well as chest deformities are also commonly present in Beal’s and Marfan syndrome patients. In many cases, people with Beals syndrome, were diagnosed to be suffering from Marfans syndrome.

Adenocarcinoma

Adenocarcinoma is a form of cancer that evolves in glandular tissue. Now, this tissue is also a part of a larger tissue category, which is known as epithelial tissue. As it is, epithelial tissue includes glands, skin and a range of other tissues that line along the cavities and organs of the body.

Epithelium can be derived embryologically from endoderm, ectoderm, as well as mesoderm. In order to be certified as adenocarcinoma, the cells need not necessarily part of a gland, as far as they are present with secretary properties. This type of carcinoma may occur in some of the bigger mammals, which include humans.

Well distinguished adenocarcinomas are most likely to resemble the glandular tissues, which they are derived from, whereas poorly distinguished ones may not. By way of staining the cells from a biopsy, the pathologist would be able to determine whether the tumor, is actually an adenocarcinoma or any other type of cancer. Adenocarcinomas may arise in many of the tissues in the body, as a result of the omnipresent nature of glands within the body.

Now, while each gland may not secrete the same kinds of substance, but as long as the exocrine function to the cell is present, it is considered to be glandular and as it is, its malignant form is therefore named as adenocarcinoma. As it is, Endocrine gland tumors, like insulinoma, VIPoma, pheochromocytoma, etc, are generally not referred to as adenocarcinomas, but rather, are often called neuroendocrine tumors.

In case of the glandular tissues are abnormal, but gentle, it is known as an adenoma. Benign adenomas generally do not involve other tissue and rarely metastasize. Malignant adenocarcinomas involve other tissues and often metastasize given enough time to do so.

A diagnosis of adenocarcinoma that can not be further described, said to be adenocarcinoma and not otherwise specified, is substantial because it indicates that a cancerous process might be present. However, it is not very useful in case of treatment decisions, as well as prognosis, as these are usually determined by the tissues from which the tumor cells evolve, i.e. the tissue of the origin; an adenocarcinoma of colon has a diagnosis and treatment different from that of an adenocarcinoma of the ovary.

Adenocarcinoma which is not otherwise specified is usually a preliminary diagnosis and may frequently be certified by a pathologist with the use of immunohistochemistry. The term adenocarcinoma has been derived from the word adeno, which means pertaining to a gland, as well as carcinoma, which refers to a cancer that has developed in the epithelial cells.

Ehlers-Danlos Syndrome

Ehlers-Danlos syndrome, or EDS, as it is commonly known as, is a group of genetic disorders which is quite rare and affects humans. The condition is believed to be caused by a disorder in the collagen synthesis. The severity of the syndrome may vary from mild to fatally life-threatening, depending on the mutation of the individual. As it is, there is still no known cure for this condition. The condition is also known as Cutis hyperelastica, or Elastic skin.

The syndrome was identified by two doctors, Edward Ehlers of Denmark, and Henri-Aleixandre Danlos of France. The syndrome was later on named after them, who had recognized this syndrome at the onset of the 20th century.  As far as symptoms of the condition are concerned, they may vary on the basis of the type of Ehlers Danlos Syndrome, which the patient is suffering from. However, irrespective of the type, the condition is ultimately caused by reduced amounts of collagen in the body.

As it is, collagen is an essential element of the body and helps in support, as well as strength to the connective tissues of the body. So, any defect in the collagen would result in weakened connective tissues in the bones, blood vessels, skin, as well as organs, resulting in this disorder. Mutations or changes in the genes, which are responsible for collagen, is said to be the reason behind this condition. As it is, such mutations may change the structure, processing or production of collagen, as well as proteins which interact with collagen.

There is a close association between the type of Ehlers-Danlos syndrome, which a person is suffering from and the inheritance patterns. In most cases, the conditions are inherited from the parent, in an autosomal dominant pattern. This means that alteration in only one of the two copies of the gene, (which is responsible for the collagen); can cause the disorder. However, in some cases, the conditions are inherited in an autosomal recessive pattern. This means that both the copies of the gene should be altered in order to enable a person to be affected by this condition.

Ehlers-Danlos Syndrome is a genetic disorder and is estimated to affect 0.02% of the people across the world. It can affect males, as well as females and cuts across all racial and ethnic boundaries.

As it is, the original estimates were quite different from the later findings, which suggested that the original estimates were vastly inaccurate. As the disorder went through further studies and research, medical professionals became defter in accurately diagnosing Ehlers Danlos Syndrome. As it is, there are basically six types of this disease, and their prevalence rate differs vastly. The most commonly occurrence is that of hypermobility type, which is followed by classical type.

Esophageal Cancer

Esophageal cancer refers to a sarcoma of the esophagus. It can be classified into several subcategories, which include primarily squamous cell cancer and adenocarcinoma. Now, Squamous cell cancer occurs from the cells which line the upper region of the esophagus, whereas, Adenocarcinoma occurs from glandular cells, which are present at the intersection of the esophagus and stomach.

As it is, esophageal tumors generally cause dysphagia, which causes difficulty in swallowing, severe pain, along with other symptoms, which can be diagnosed with biopsy. While small and localized tumors can be removed surgically with curative intent, larger tumors are usually inoperable and therefore cannot be cured; however, their growth can be delayed with the help of chemotherapy, radiotherapy, as well as a combination of the two. In many cases chemotherapy and radiotherapy can reduce these larger tumors to operable limits. Diagnosis depends on the degree of the disease and other medical factors, but is generally poor.

The first symptom in most patients is dysphagia, i.e. difficulty in swallowing. Odynophagia, i.e. painful swallowing might also be present.  While hard or bulky substances like bread or meat might cause much more difficulty in swallowing; fluids and liquid foods are generally tolerable. Another vital characteristic of such a condition is substantial weight loss, which is resulted by poor nutrition and active cancer. Also burning pain, of a severe nature may be present, which is usually worsened by swallowing. It can at times be spasmodic in nature. An early symptom of such a condition is an unusually husky voice.

In case the disease has spread to other parts of the body, it may cause liver metastasis, leading to jaundice and ascites, lung metastasis, leading to shortness of breath, pleural effusions, etc. The treatment is established on the basis of the type of cancer, the stage of the cancer, the condition of the patient in general and the other diseases, which are present. As it is, adequate nutrition is a basic necessity and needs to be assured and adequate dental care is vital.

In case the patient is not able to swallow at all, a stent may be used to keep the esophagus patent. A nasogastric tube may also be necessary in order to continue feeding, as the treatment for the tumor is underway. Sometimes, patients may require a gastrostomy, with a feeding hole in the skin, which gives it direct access to the stomach. It is especially important in case if the patient tends to have a tendency to aspirate food into the air passage, leading to aspiration pneumonia.

Reactive Arthritis

Reactive arthritis refers to an autoimmune condition, arises as a result of an infection in another parts of the body. As a result of contact with the bacteria and the development of an infection can cause reactive arthritis. The condition shows symptoms, which is quite similar to several other conditions, which are collectively referred to as arthritis, like rheumatism.

It is a result of another infection and is therefore reactive, i.e., reliant on the other condition. As it is, the infection, which triggers the symptoms, is often cured or is in the remission stages in chronic cases, thereby resulting in difficulty in the determination of the initial cause.

The symptoms, in case of reactive arthritis, quite often include a combination of three symptoms, which may appear to be unlinked. These include urethritis, inflammatory arthritis of large joints, as well as inflammation of the eyes.

The condition is also referred to as Reiter’s syndrome, after Hans Conrad Julius Reiter, who was a well known German physician. As it is, the condition was first explained by him in the year 1916. He illustrated the disorder in case of a soldier of World War I. The patient had recovered from periods of diarrhea. This condition is also referred to as polyarteritis enteric, arthritis urethritica, as well as venereal arthritis. It is a kind of seronegative spondyloarthropathy.

In most of the cases, it affects individuals in the age group of 20 to 40 years. It more usually occurs in case of men than in case of women. Apart from that, it is more common in case of white men than in case of black men. A major reason, which is considered to be a major factor, is that white individuals are more likely to have the tissue type HLA-B27, than in case of black individuals. As it is, people with HIV, are also at an elevated risk of development of reactive arthritis. Food poisoning is also a major cause.

The condition is believed to be set off due to a preceding infection. The most common is that of genital infection due to Chlamydia trachomatis. Apart from that, other bacteria, which are believed to cause reactive arthritis, include Shigella spp., Neisseria gonorrhoeae, Campylobacter spp., Ureaplasma urealyticum, Yersinia spp., as well as Salmonella spp. A session of food poisoning, along with gastrointestinal infection might also mark the arrival of the disease.

As it is, Reactive arthritis generally manifests around 1 to 3 weeks after a known infection has occurred. The mode of contact between the infecting organisms with the host is still not known. The very first symptom, which is experienced in such a case is generally a urinary symptom, which involves burning pain, at the time of urination. Along with that a patient might also experience an increased frequency of urination. Other problems include prostatitis in case of men, as well as vulvovaginitis, cervicitis, along with salpingitis in case of women.

Crohn’s Disease

Crohn’s disease refers to an inflammatory disease, which might affect any area of the gastrointestinal tract, from the mouth to the anus, resulting in a wide range of symptoms. It mainly results in diarrhea, abdominal pain, vomiting, as well as weight loss, but might also result in complications outside the gastrointestinal, which includes arthritis, skin rashes, as well as inflammation of the eye.

Although the disease was first described independently in the year 1904 by Antoni Le?niowski, who was a Polish surgeon, the disease was named after Burrill Bernard Crohn, who explained the condition in the year 1932 He was an American gastroenterologist, who along with two of his colleagues, explained a range of patients, who were suffering from inflammation in the terminal ileum, which is an area most commonly affected due to the illness. Due to this reason, the disease is also referred to as regional ileitis.

Also referred to as granulomatous colitis, the condition is an autoimmune disease, which is caused due to the immune system adversely affecting the gastrointestinal tract, thereby resulting in inflammation in it. it is accepted as a kind of inflammatory bowel disease.

Apart from that, there is believed to be a genetic link in case of Crohn’s disease. As it is, it has been found that, individuals with siblings who are suffering from the disease, have a considerably high risk of occurrence. Gender has not been found to have any affect as such in this disease, as both males, as well as females have been found to be equally affected.

Apart from that several other factors, like smoking has been found to have considerable effect in this regard, as smokers are believed to be at three times higher risk of developing Crohn’s disease. According to a rough estimate, Crohn’s disease is believed to affect more than 400,000 people in North America alone.

The onset of Crohn’s disease is believed to be initially present in adolescence as well as the twenties. It is also believe to strike the age group of the fifties to the seventies. The disease can however, occur in any stage of life.

As it is, there is still no drug or surgical cure, available for Crohn’s disease. As far as treatment options are concerned, they are mainly focused towards, maintaining remission controlling symptoms, as well as preventing relapse.

The disease may affect any area of the digestive tract, i.e. from the mouth to the anus. As it is, Crohn’s disease might also be categorized on the basis of the behavior of the disease as it grows.

This got formalized y way of the Vienna classification of the Crohn’s disease. Although, there is currently no cure for Crohn’s disease, apart from chances of remission being absolutely bleak, recent studies have revealed that a low dose of naltroxen can show improvement in case of Crohn’s disease.

Crouzon Syndrome

Crouzon Syndrome refers to a genetic disorder, which affects the pharyngeal arch, which is the precursor to the maxilla, along with mandible. Since the pharyngeal arch or branchial arches are significant features of development in a growing embryo, therefore, a disorder in their development can create lasting, as well as widespread effects. This condition is also known as a branchial arch syndrome.

One of the most significant features of Crouzon Syndrome is cranial synostosis. However, it usually appears as brachycephaly. This results in the emergence of a short, as well as broad head. Other features include bulging eyes, caused by shallow eye sockets, as a result of early fusion of surrounding bones, abnormal gap between the eyes and a hooked beak like nose.

Apart from that, external strabismus, is also a common feature in such cases. Apart from that, patients with Crouzon syndrome show a number of other symptoms and signs, such as abnormal growth around the mid face, as well as a protruding chin. All these factors, give an abnormal shape to the face of the patient and it looks more or less like a concave object.

This disorder was first described by Octave Crouzon, who was a French physician. As a mark of tribute to his findings in this direction, this syndrome was later named after him. Crouzon first noticed the syndrome in two affected patients, who were a mother-daughter duo, thereby suggesting a genetic cause for it. The disease was first referred to as craniofacial dysostosis, where craniofacial denotes the skull and the face, whereas dysostosis denotes a union between the adjacent bones.

As far as the diagnosis of Crouzon Syndrome is concerned, it can usually take place at birth by way of proper assessment of the symptoms, which the baby is suffering from. With the help of advanced diagnostic techniques, like MRI scans, radiographs, X-rays, CT scans and genetic testing presence of Crouzon syndrome can be accurately diagnosed.

As far as treatment, surgery can be quite effective in preventing the closure of the fibrous tissues of the skull from causing damage to the development of the brain. As it is, blindness and mental retardation are common outcomes, in cases where patients forego the surgical option. Apart from that orthodontic and orthognathic surgery can be effective, to reduce some of the deficiency in the mid face. Along with that, many of the patients opt for a customized cover or band.

As it is Crouzon Syndrome is a quite rare phenomenon and this poses barriers in research and finding out proper cures for it.

Beals Syndrome

Beals syndrome refers to a very rare genetic disorder, which affects the connective tissues of the skeleton. This condition is also referred to as Beals contractual arachnodactyly or BCA. People suffering from Beals syndrome, are usually characterized by long, thin, fingers and toes, with limited mobility in their joints of their fingers, hips, elbows, as well as knees. They are also featured by crumpled and abnormally shaped ears.

In many cases, babies with Beals syndrome may also feature clubfoot, with deformity in one or both feet, as they turn in towards each other, near the ankles. However, in most cases, the deformities improve with time. Similarly, the clubfoot too usually gets better with the help of physiotherapy.

Beals syndrome is resulted by mutation or changes occurring in a gene. Beals syndrome is said to occur, when fibrillin, which is an important component of the connective tissues of the body, undergoes some changes. As it is, fibrillin is responsible for sticking together various parts of the body, such as bones, cartilages, tendons, and fibers. Now, this gene, which is known as FBN2, is responsible for production of fibrillin and is located on chromosome 5. In case of any mutation or change in this FBN2 gene Beals syndrome gets developed.

Beals syndrome is usually inherited from the parents as a dominant condition. In most conditions, a person can develop the condition, with only one altered gene copy. Now, the mutation or change in the FBN2 gene, which is responsible for Beals syndrome can be passed on from a parent who is carrying this disorder. As it is, people with Beals syndrome have a 50% chance of transmitting the disorder to their offspring.

However, in some cases, Beals syndrome can occur, where the parents are not affected by the syndrome. As it is, in such conditions, the disorder is not passed on from the parents to the child, but is a result of a spontaneous mutation. This means that the FBN2 gene mutation has been caused by some unknown factors.

Beals syndrome can affect both males, as well as females of all groups. It is a very rare condition and this is one of the reasons, why an exact estimate of the number of people affected by it, is not available. Apart from the usual symptoms shown by persons with Beals syndrome, i.e. tall and thin structure, along with contractures, with typical crumpled ear, signs of this disorder may vary from one individual to the other. In many cases, the arms are disproportionately long in comparison with the height of the person. Other features may include a protruding forehead, small chin, as well as a high arch in the palate.

As it is Beal syndrome is a very rare condition and therefore, not much development has been made in its direction. As it is, in many cases, people with Beals syndrome are often misdiagnosed with Marfans syndrome.

Birth Defects Syndrome

Most people have this wrong notion that all birth defects are severe and fatal. However, the fact remains that most are treatable, many a times immediately after birth; and sometimes even before the baby is born. To know the risk factors, which are involved along with how to prevent birth defects, is therefore especially important. It is interesting to note that most babies who are born with congenital defects are usually born to two healthy parents.

Birth defects refer to abnormalities of structure, functionality, or body metabolism, which are present at the time of birth. Such abnormalities may lead to mental as well as physical disabilities. As it is, there are more than four thousand different kinds of birth defects, varying from minor to serious. Birth defects may be caused by genetic, environmental, as well as other unknown factors.

Structural or metabolic defects are those defects, which arise, in case a specific body organ is missing or deformed, or when there is an inborn problem in the body chemistry. The most visible form of major structural defects includes heart defects, which affect 1 in 100 babies in the United States. Other common defects include hypospadias, where the opening of the male urethra is in the wrong place.

As it is, in most cases, babies with birth defects are usually born to two parents without any obvious health problem or risk factors. In fact, according to the March of Dimes, around sixty percent of the birth defects have unknown causes. The rest of them are caused by genetic or environmental factors, or at times, combination of the two.

Genetics usually plays a significant role in some birth defects. Each cell in the body has chromosomes, which contain genes which determine unique characteristics of a person. A missing or faulty gene may cause a birth defect. This is a very significant factor, especially when you consider the fact that each of us has about 25,000 genes per cell, which determining everything from the color of our hair, to our voice.

A child inherits one of each pair of chromosomes from each parent. Many a time, a disease or defect may occur in case if only one parent passes the gene for that disease. This is known as dominant inheritance and it includes birth defects like achondroplasia, as well as Marfan syndrome. Sometimes, birth defects occur only in case both parents pass a faulty gene for the same disease to the child. This is known as recessive inheritance and it includes conditions like cystic fibrosis.

Environmental causes of birth defects involve more of the health of the mother, along with exposure to chemicals or diseases. In case the mother is suffering from certain infections, during pregnancy, then it can lead to birth defects. Alcohol abuse by the mother is also an important factor and can cause fetal alcohol syndrome. Apart from that, certain types of medications taken by the mother may also cause birth defects. Multi factorial birth defects are a result of a combination of genetic, as well as environmental factors; and it includes neural tube defects, as well as cleft lip and palate.

Although one might take steps to prevent birth defects, a birth defect can still happen even if both partners do not have any history of birth defects in their respective families or even in case they have had healthy children in the past.

Weill-Marchesani Syndrome

Weill-Marchesani syndrome, or WMS, as it is commonly known as, is a connective tissue disorder. It is characterized by features, such as brachydactyly, disorder related to the eye, a proportionately short stature, as well as joint stiffness. The various problems of the eyes that can be detected in childhood include microspherophakia, ectopia lentis, myopia, as well as glaucoma. Such a condition, may also lead to blindness. An average male suffering from Weill Marchesani syndrome may have a height of 142-169 cm; whereas, in case of a female, the height may range in 130-157 cm.

The condition was first reported by Georges Weill in the year 1932. He reported about eight patients, who were suffering from dislocation of the lens, as well as other dysmorphic features. Many of them had arachnodactyly and were thought to be suffering from the Marfan syndrome. However, two of them were of short stature. Then again in the year 1939 Marchesani reported of documenting boy and three siblings in another family, all of whom were suffering from ectopia lentis. What struck him was that, although ectopia lentis was a characteristic of Marfan syndrome, the patients, with whom he had studied, had short fingers rather than arachnodactyly. The Weill-Marchesani syndrome is a relatively common feature in the Amish religious isolate of the USA.

In case of diagnosis in Weill Marchesani syndrome, the tests are mostly conducted, relying on clinical findings. However, molecular genetic testing may also be quite helpful in regard to proper diagnosis. As it is, the one gene, which is supposedly associated with autosomal recessive WMS is ADAMTS10. Molecular genetic testing for ADAMTS10 is undergoing continuous development.

As far as treatment is concerned, early detection and removal of an ectopic lens can very well reduce the possibility of pupillary block, apart from glaucoma. It needs to be mentioned here that surgical treatment of glaucoma can mean including peripheral iridectomy, in order to relieve pupillary block and trabeculectomy. This is quite effective in case of advanced chronic angle closure glaucoma. Now, as it is, medical treatment of glaucoma is quite difficult because of inconsistent response to miotics and mydriatics.

Weill Marchesani syndrome is a disease, which is inherited in an autosomal dominant or autosomal recessive manner. In most of the cases, individuals with autosomal dominant Weill Marchesani Syndrome have an affected parent. It is believed that each individual with autosomal dominant Weill Marchesani Syndrome has a 50% chance of passing it over to the next generation.