2013Practica Oto-Rhino-LaryngologicaRequires access

A Case of Marfan^|^rsquo;s Syndrome Complaining of Pharyngeal Pain

Shuhei Takiguchi, Yukiomi Kushihashi, Yoshiyuki Kyo, Yoshihiro Yamada, Miki Shino, Yoshiyuki Kadokura, Harumi Suzaki

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Abstract

Marfan’s syndrome is a genetic disorder of the connective tissue. One of the most serious complications associated with Marfan’s syndrome is aortic dissection, which is often fatal, even when rapidly treated. We report a case of Marfan’s syndrome with acute aortic dissection presenting with pharyngeal pain. The patient was a 41-year-old woman who presented with a one-week history of pharyngeal pain and slight fever. Although no abnormal findings were detected on physical examination of the pharyngolarynx, contrast-enhanced CT revealed acute aortic dissection and a funnel chest. Subsequently, we diagnosed the patient as a case of Marfan’s syndrome with acute aortic dissection. Unexplained pharyngeal pain could be referred pain associated with cardiovascular disease.

About this research paper

What this paper is about

Marfan’s syndrome is a genetic disorder of the connective tissue. One of the most serious complications associated with Marfan’s syndrome is aortic dissection, which is often fatal, even when rapidly treated. We report a case of Marfan’s syndrome with acute aortic dissection presenting with pharyngeal pain. The patient was a 41-year-old woman who presented with a one-week history of pharyngeal pain and slight fever. Although no abnormal findings were detected on physical examination of the pharyngolarynx, contrast-enhanced CT revealed acute aortic dissection and a funnel chest. Subsequently, we diagnosed the patient as a case of Marfan’s syndrome with acute aortic dissection. Unexplained pharyngeal pain could be referred pain associated with cardiovascular disease.

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Available abstract

Marfan’s syndrome is a genetic disorder of the connective tissue. One of the most serious complications associated with Marfan’s syndrome is aortic dissection, which is often fatal, even when rapidly treated. We report a case of Marfan’s syndrome with acute aortic dissection presenting with pharyngeal pain. The patient was a 41-year-old woman who presented with a one-week history of pharyngeal pain and slight fever. Although no abnormal findings were detected on physical examination of the pharyngolarynx, contrast-enhanced CT revealed acute aortic dissection and a funnel chest. Subsequently, we diagnosed the patient as a case of Marfan’s syndrome with acute aortic dissection. Unexplained pharyngeal pain could be referred pain associated with cardiovascular disease.

Key concepts: Marfan syndrome, Aortic dissection, Medicine, Chest pain, Connective Tissue Disorder, Dissection (medical), Surgery, Physical examination

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