Satoyoshi syndrome
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Multisystemic disease probably of autoimmune origin. Onset in childhood and female predominance.
It combines:
- muscle spasms and myalgias
- alopecia
- chronic diarrhea: malnutrition, weight loss, iron deficiency anemia, hypoproteinemia
- osseous problems probably secondary to muscle spasms: osteolysis, stress fractures, epiphysiolyses, bone lesions at tendon insertion sites, early osteoarthritis
- growth retardation
- primary amenorrhea.
Endoscopy: alterations of the mucous membranes that appear granular or ulcerated (lymphoplasmocytic infiltrate), presence of small cystic lesions in the gastric mucosa (gastritis cystica polyposa)
Anesthetic implications:
check blood count and protein levels; side effects of current treatments (corticosteroids, immunosuppression)
References :
- Solis Garcia del Poso J, de Cabo C, Solera J.
Gastrointestinal manifestations in Satayoshi syndrome: a systematic review.
Orphanet J Rare Diseases 2020 ; 15 :115
Updated: June 2020