Aphasia in Right Hemiparesis and Pain in Left Waist: A Deceiving Case in Vascular Ehlers-Danlos Syndrome

Yining FU; Jingmin Zhou; Feng LI; Shangzhi Huang; Yining Wang; Xia Hong; Ke Lyu; Yaping Liu; Ling Leng; Wenjie Zheng; Zhengqing Qiu; Yicheng Zhu; Yuehong Zheng; Yuexin Chen

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Aphasia in Right Hemiparesis and Pain in Left Waist: A Deceiving Case in Vascular Ehlers-Danlos Syndrome

VernacularTitle:右侧肢体偏瘫伴失语，左腰部疼痛——迷惑性极强的血管型Ehlers-Danlos综合征
Author: Yining FU ¹ ; Jingmin ZHOU ² ; Feng LI ³ ; Shangzhi HUANG ⁴ ; Yining WANG ⁵ ; Xia HONG ⁶ ; Ke LYU ⁷ ; Yaping LIU ⁸ ; Ling LENG ⁸ ; Wenjie ZHENG ⁹ ; Zhengqing QIU ¹⁰ ; Yicheng ZHU ¹¹ ; Yuehong ZHENG ¹ ; Yuexin CHEN ¹
Author Information

1. Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
2. Department of Urology Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
3. Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
4. Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, Beijing 100005, China.
5. Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
6. Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
7. Department of Ultrasonography, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
8. Institute of Clinical Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
9. Department of Rheumatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
10. Department of Pediatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
11. Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
Publication Type:Journal Article
Keywords: rare diseases; systemic vasculitis; vascular Ehlers-Danlos syndrome; multidisciplinary team
From: JOURNAL OF RARE DISEASES 2024;3(2):224-231
CountryChina
Language:Chinese
Abstract:
The Ehlers-Danlos syndrome(EDS)is a rare inherent connective tissue disorder. The prevalence of EDS in the population is estimated at one out of ten thousand to one out of a hundred thousand. The vascular EDS(vEDS) are rare among the subtypes but are the worst in prognosis. The article reports a case of vEDS admitted to the hospital. The patient was a young man complaining of a sudden onset of aphasia in right hemiparalysis and severe left abdominal pain for unknown reasons. The diagnosis was made after the genetic testing. The patient suffered from vEDS. Then, the multi-disciplinary team(MDT)made a treatment plan tailored to this young patient. The complexity in classification and delusive presentations of the EDS make the correct diagnosis very challenging. This article hopes to report this case and to share the experiences to the better understanding of this disease.