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Marfan Syndrome, Sports Medicine

Rebecca L. Carl, MD, MSCI Reviewed 04/2019
 


BASICS

DESCRIPTION

  • An autosomal dominant genetic disorder of connective tissue

  • System(s) affected: musculoskeletal, cardiovascular, ocular, skin/integument, endocrine/metabolic, pulmonary

  • Genetics: autos...

DIAGNOSIS

  • Genetic testing, looking for mutations in the FBN-1 gene, is available. Mutations can be identified in ~90% of affected individuals 1[A].

  • The mainstay of diagnosis is clinical evaluation and ...

TREATMENT

  • Long-term treatment

  • Acute treatment: outpatient

MEDICATION

First Line

  • No specific medical therapy is available. Medications may be used to treat manifestations of Marfan syndrome.

  • β-Blockers have...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Athletes with Marfan syndrome can participate in low to moderate static/low-dynamic sports as long as they do not have moderate or severe mitral regurgitation, le...

REFERENCES

1
Faivre L, Masurel-Paulet A, Collod-Béroud G, et al. Clinical and molecular study of 320 children with Marfan syndrome and related type I fibrillinopathies in a series of 1009 probands with...

CLINICAL PEARLS

  • Clinicians should be on the lookout for the musculoskeletal manifestations of Marfan syndrome when performing preparticipation screening.

  • Physicians should carefully evaluate individual...

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