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Vascular hyalinosis

MedGen UID:
376398
Concept ID:
C1848590
Disease or Syndrome
Synonyms: Digestive tract and renal small vessel hyalinosis, intracerebral calcifications, retinal ischemic syndrome and phenotypic a; Retinal ischemic syndrome-digestive tract small vessel hyalinosis-diffuse cerebral calcifications syndrome
Modes of inheritance:
Unknown inheritance
MedGen UID:
989040
Concept ID:
CN307042
Finding
Source: Orphanet
Hereditary clinical entity whose mode of inheritance is unknown.
 
Monarch Initiative: MONDO:0010177
OMIM®: 277175
Orphanet: ORPHA3018

Definition

A rare systemic disease characterized by progressive hyalinosis involving capillaries, arterioles and small veins of the digestive tract, kidneys, and retina, associated with idiopathic cerebral calcifications, manifesting with severe diarrhea (with rectal bleeding and malabsorption), nephropathy (with renal failure and systemic hypertension), chorioretinal scarring, and subarachnoid hemorrhage. Poikiloderma and premature greying of the hair may be additionally observed. [from ORDO]

Clinical features

From HPO
Vascular dilatation
MedGen UID:
8076
Concept ID:
C0002940
Pathologic Function
Abnormal outpouching or sac-like dilatation in the wall of an atery, vein or the heart.
Diarrhea
MedGen UID:
8360
Concept ID:
C0011991
Sign or Symptom
Abnormally increased frequency (usually defined as three or more) loose or watery bowel movements a day.
Hematochezia
MedGen UID:
5481
Concept ID:
C0018932
Disease or Syndrome
The passage of fresh (red) blood per anus, usually in or with stools. Most rectal bleeding comes from the colon, rectum, or anus.
Protein-losing enteropathy
MedGen UID:
19522
Concept ID:
C0033680
Disease or Syndrome
Complement hyperactivation, angiopathic thrombosis, and protein-losing enteropathy (CHAPLE) is characterized by abdominal pain and diarrhea, primary intestinal lymphangiectasia, hypoproteinemic edema, and malabsorption. Some patients also exhibit bowel inflammation, recurrent infections associated with hypogammaglobulinemia, and/or angiopathic thromboembolic disease. Patient T lymphocytes show increased complement activation, causing surface deposition of complement and generating soluble C5a (Ozen et al., 2017).
Malabsorption
MedGen UID:
811453
Concept ID:
C3714745
Finding
Impaired ability to absorb one or more nutrients from the intestine.
Subarachnoid hemorrhage
MedGen UID:
11625
Concept ID:
C0038525
Disease or Syndrome
Hemorrhage occurring between the arachnoid mater and the pia mater.
Cerebral calcification
MedGen UID:
124360
Concept ID:
C0270685
Finding
The presence of calcium deposition within the cerebrum.
Premature graying of hair
MedGen UID:
75524
Concept ID:
C0263498
Finding
Development of gray hair at a younger than normal age.
Poikiloderma
MedGen UID:
97905
Concept ID:
C0392777
Disease or Syndrome
Poikiloderma refers to a patch of skin with (1) reticulated hypopigmentation and hyperpigmentation, (2) wrinkling secondary to epidermal atrophy, and (3) telangiectasias.
Chorioretinal scar
MedGen UID:
40279
Concept ID:
C0008512
Acquired Abnormality
Fibrous connective tissue resulting from incomplete healing of a wound (i.e., a scar) located in the choroid and retina or the eye.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVVascular hyalinosis

Professional guidelines

PubMed

Stangou MJ, Marinaki S, Papachristou E, Liapis G, Pateinakis P, Gakiopoulou H, Nikolaidou C, Kolovou K, Lampropoulou IT, Zerbala S, Papadea P, Dounousi E, Balafa O, Pavlakou P, Andrikos A, Balassi E, Manolakaki P, Moustakas G, Galitsiou D, Mitsopoulos E, Vourlakou C, Choulitoudi V, Andronikidi PE, Stefanidis I, Golfinopoulos S, Dafnis E, Stylianou K, Panagoutsos S, Papadogianakis A, Tzanakis I, Sioulis A, Vlahakos D, Grapsa I, Tsilivigkou M, Kaperonis N, Paliouras C, Dioudis C, Spaia S, Apostolou T, Iatrou C, Boletis J, Goumenos D, Papagianni A
Histopathology 2019 Nov;75(5):660-671. Epub 2019 Oct 3 doi: 10.1111/his.13955. PMID: 31318463Free PMC Article

Recent clinical studies

Etiology

Shen Y, Xiao T, Yu Z, Huang Y, He T, Li H, Zhang J, Xiong J, Zhao J
Ren Fail 2022 Dec;44(1):994-1003. doi: 10.1080/0886022X.2022.2083974. PMID: 35658824Free PMC Article
Soliman AR, Maamoun H, Soliman H, Ahmed RM
Rom J Intern Med 2021 Jun 1;59(2):127-133. Epub 2021 May 8 doi: 10.2478/rjim-2020-0045. PMID: 33565308
Wang L, Nong L, Li F, Wang X, Wang R, Chen X, Tu P, Dong Y, Li T, Zhu X, Wang M
Am J Clin Pathol 2020 Aug 5;154(3):403-413. doi: 10.1093/ajcp/aqaa053. PMID: 32459333
Moriya T, Omura K, Matsubara M, Yoshida Y, Hayama K, Ouchi M
Diabetes Care 2017 Oct;40(10):1373-1378. Epub 2017 Aug 3 doi: 10.2337/dc17-0209. PMID: 28774945
Tiebosch AT, Wolters J, Frederik PF, van der Wiel TW, Zeppenfeldt E, van Breda Vriesman PJ
Kidney Int 1987 Jul;32(1):112-6. doi: 10.1038/ki.1987.179. PMID: 3626293

Diagnosis

Shen Y, Xiao T, Yu Z, Huang Y, He T, Li H, Zhang J, Xiong J, Zhao J
Ren Fail 2022 Dec;44(1):994-1003. doi: 10.1080/0886022X.2022.2083974. PMID: 35658824Free PMC Article
Moriya T, Omura K, Matsubara M, Yoshida Y, Hayama K, Ouchi M
Diabetes Care 2017 Oct;40(10):1373-1378. Epub 2017 Aug 3 doi: 10.2337/dc17-0209. PMID: 28774945
Salvatore SP, Troxell ML, Hecox D, Sperling KR, Seshan SV
Am J Nephrol 2015;41(1):66-72. Epub 2015 Feb 5 doi: 10.1159/000371727. PMID: 25659349
Bazzi C, Stivali G, Rachele G, Rizza V, Casellato D, Nangaku M
Nephrology (Carlton) 2015 Jan;20(1):11-7. doi: 10.1111/nep.12339. PMID: 25230383
Tiebosch AT, Wolters J, Frederik PF, van der Wiel TW, Zeppenfeldt E, van Breda Vriesman PJ
Kidney Int 1987 Jul;32(1):112-6. doi: 10.1038/ki.1987.179. PMID: 3626293

Therapy

Soliman AR, Maamoun H, Soliman H, Ahmed RM
Rom J Intern Med 2021 Jun 1;59(2):127-133. Epub 2021 May 8 doi: 10.2478/rjim-2020-0045. PMID: 33565308
Stangou MJ, Marinaki S, Papachristou E, Liapis G, Pateinakis P, Gakiopoulou H, Nikolaidou C, Kolovou K, Lampropoulou IT, Zerbala S, Papadea P, Dounousi E, Balafa O, Pavlakou P, Andrikos A, Balassi E, Manolakaki P, Moustakas G, Galitsiou D, Mitsopoulos E, Vourlakou C, Choulitoudi V, Andronikidi PE, Stefanidis I, Golfinopoulos S, Dafnis E, Stylianou K, Panagoutsos S, Papadogianakis A, Tzanakis I, Sioulis A, Vlahakos D, Grapsa I, Tsilivigkou M, Kaperonis N, Paliouras C, Dioudis C, Spaia S, Apostolou T, Iatrou C, Boletis J, Goumenos D, Papagianni A
Histopathology 2019 Nov;75(5):660-671. Epub 2019 Oct 3 doi: 10.1111/his.13955. PMID: 31318463Free PMC Article
Basnayake BMDB, Wazil AWM, Kannangara T, Ratnatunga NVI, Hewamana S, Ameer AM
J Med Case Rep 2017 May 14;11(1):135. doi: 10.1186/s13256-017-1294-3. PMID: 28501028Free PMC Article
Salvatore SP, Troxell ML, Hecox D, Sperling KR, Seshan SV
Am J Nephrol 2015;41(1):66-72. Epub 2015 Feb 5 doi: 10.1159/000371727. PMID: 25659349
Maschio G, Oldrizzi L, Rugiu C
J Am Soc Nephrol 1991 Oct;2(4):832-40. doi: 10.1681/ASN.V24832. PMID: 1751786

Prognosis

Shen Y, Xiao T, Yu Z, Huang Y, He T, Li H, Zhang J, Xiong J, Zhao J
Ren Fail 2022 Dec;44(1):994-1003. doi: 10.1080/0886022X.2022.2083974. PMID: 35658824Free PMC Article
Soliman AR, Maamoun H, Soliman H, Ahmed RM
Rom J Intern Med 2021 Jun 1;59(2):127-133. Epub 2021 May 8 doi: 10.2478/rjim-2020-0045. PMID: 33565308
Wang L, Nong L, Li F, Wang X, Wang R, Chen X, Tu P, Dong Y, Li T, Zhu X, Wang M
Am J Clin Pathol 2020 Aug 5;154(3):403-413. doi: 10.1093/ajcp/aqaa053. PMID: 32459333
Moriya T, Omura K, Matsubara M, Yoshida Y, Hayama K, Ouchi M
Diabetes Care 2017 Oct;40(10):1373-1378. Epub 2017 Aug 3 doi: 10.2337/dc17-0209. PMID: 28774945
Maschio G, Oldrizzi L, Rugiu C
J Am Soc Nephrol 1991 Oct;2(4):832-40. doi: 10.1681/ASN.V24832. PMID: 1751786

Clinical prediction guides

Soliman AR, Maamoun H, Soliman H, Ahmed RM
Rom J Intern Med 2021 Jun 1;59(2):127-133. Epub 2021 May 8 doi: 10.2478/rjim-2020-0045. PMID: 33565308
Stangou MJ, Marinaki S, Papachristou E, Liapis G, Pateinakis P, Gakiopoulou H, Nikolaidou C, Kolovou K, Lampropoulou IT, Zerbala S, Papadea P, Dounousi E, Balafa O, Pavlakou P, Andrikos A, Balassi E, Manolakaki P, Moustakas G, Galitsiou D, Mitsopoulos E, Vourlakou C, Choulitoudi V, Andronikidi PE, Stefanidis I, Golfinopoulos S, Dafnis E, Stylianou K, Panagoutsos S, Papadogianakis A, Tzanakis I, Sioulis A, Vlahakos D, Grapsa I, Tsilivigkou M, Kaperonis N, Paliouras C, Dioudis C, Spaia S, Apostolou T, Iatrou C, Boletis J, Goumenos D, Papagianni A
Histopathology 2019 Nov;75(5):660-671. Epub 2019 Oct 3 doi: 10.1111/his.13955. PMID: 31318463Free PMC Article
Moriya T, Omura K, Matsubara M, Yoshida Y, Hayama K, Ouchi M
Diabetes Care 2017 Oct;40(10):1373-1378. Epub 2017 Aug 3 doi: 10.2337/dc17-0209. PMID: 28774945
Salvatore SP, Troxell ML, Hecox D, Sperling KR, Seshan SV
Am J Nephrol 2015;41(1):66-72. Epub 2015 Feb 5 doi: 10.1159/000371727. PMID: 25659349
Bazzi C, Stivali G, Rachele G, Rizza V, Casellato D, Nangaku M
Nephrology (Carlton) 2015 Jan;20(1):11-7. doi: 10.1111/nep.12339. PMID: 25230383

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