Advances in Pseudoxanthoma Elasticum

Pseudoxanthoma elasticum(PXE) is a rare, genetic, metabolic disease characterized by ectopic calcification of connective tissue that primarily affects the skin, retina and cardiovascular system, which characteristic histopathology is calcification and fragmentation of elastic fibers in dermis.PXE is...

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Main Authors: WANG Huifen, ZHAI Zhifang
Format: Article
Language:zho
Published: Editorial Office of Journal of Rare Diseases 2023-04-01
Series:罕见病研究
Subjects:
Online Access:https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2023.02.019
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author WANG Huifen
ZHAI Zhifang
author_facet WANG Huifen
ZHAI Zhifang
author_sort WANG Huifen
collection DOAJ
description Pseudoxanthoma elasticum(PXE) is a rare, genetic, metabolic disease characterized by ectopic calcification of connective tissue that primarily affects the skin, retina and cardiovascular system, which characteristic histopathology is calcification and fragmentation of elastic fibers in dermis.PXE is mainly caused by ABCC6 gene mutation, which is one of the important regulators of the serum inorganic pyrophosphate (PPi) homoeostasis, a main inhibitor of ectopic calcification and the deficiency of PPi can lead to ectopic calcification. The clinical features are highly heterogeneous.Typical skin lesions of PXE are yellowish flat papules and plaques, and the symptoms of skin relaxation and shrinkage can be manifested in the later stage.Retina, cardiovascular and other complications seriously affect the health and quality of life of patients. The current therapy of PXE include symptom improvement, systemic anti-ectopic calcification medicine, gene therapy and so on.We review the pathogenesis, clinical manifestations, diagnosis and treatment of PXE.
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spelling doaj.art-72dd233d9e2e427fa32f42161949a7f32024-01-02T06:02:37ZzhoEditorial Office of Journal of Rare Diseases罕见病研究2097-05012023-04-012231331810.12376/j.issn.2097-0501.2023.02.019Advances in Pseudoxanthoma ElasticumWANG HuifenZHAI ZhifangPseudoxanthoma elasticum(PXE) is a rare, genetic, metabolic disease characterized by ectopic calcification of connective tissue that primarily affects the skin, retina and cardiovascular system, which characteristic histopathology is calcification and fragmentation of elastic fibers in dermis.PXE is mainly caused by ABCC6 gene mutation, which is one of the important regulators of the serum inorganic pyrophosphate (PPi) homoeostasis, a main inhibitor of ectopic calcification and the deficiency of PPi can lead to ectopic calcification. The clinical features are highly heterogeneous.Typical skin lesions of PXE are yellowish flat papules and plaques, and the symptoms of skin relaxation and shrinkage can be manifested in the later stage.Retina, cardiovascular and other complications seriously affect the health and quality of life of patients. The current therapy of PXE include symptom improvement, systemic anti-ectopic calcification medicine, gene therapy and so on.We review the pathogenesis, clinical manifestations, diagnosis and treatment of PXE.https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2023.02.019pseudoxanthoma elasticumabcc6 geneectopic calcification
spellingShingle WANG Huifen
ZHAI Zhifang
Advances in Pseudoxanthoma Elasticum
罕见病研究
pseudoxanthoma elasticum
abcc6 gene
ectopic calcification
title Advances in Pseudoxanthoma Elasticum
title_full Advances in Pseudoxanthoma Elasticum
title_fullStr Advances in Pseudoxanthoma Elasticum
title_full_unstemmed Advances in Pseudoxanthoma Elasticum
title_short Advances in Pseudoxanthoma Elasticum
title_sort advances in pseudoxanthoma elasticum
topic pseudoxanthoma elasticum
abcc6 gene
ectopic calcification
url https://jrd.chard.org.cn/article/doi/10.12376/j.issn.2097-0501.2023.02.019
work_keys_str_mv AT wanghuifen advancesinpseudoxanthomaelasticum
AT zhaizhifang advancesinpseudoxanthomaelasticum