Current RMA Instruments
| Reasonable Hypothesis SOP | 51 of 2023 |
| Balance of Probabilities SOP | 52 of 2023 |
Changes from previous Instruments
ICD Coding
ICD-10-AM Code: Q87.4
Brief description
This is an inherited disorder of connective tissue. It has variable manifestations, most commonly affecting the heart, eyes, blood vessels and skeleton. People with Marfan syndrome are usually tall and thin with disproportionately long arms, legs, fingers and toes and lax joints.
Confirming the diagnosis
The diagnosis is based on clinical features, with diagnostic criteria typically used to establish the diagnosis and differentiate the condition form other disorders. Genetic testing will usually be undertaken.
The relevant medical specialist is a paediatrician or physician.
Additional diagnoses covered by SOP
- Nil
Clinical onset
The condition often manifests in childhhod but may not present until adulthood. The skeletal features tend to be obvious. Other presentations can include: cardiac symptoms (asociated with aortic root dilatation) such as shortness of breath, fatigue, palpitations; lens dislocation in the eye; and spontaneous pneumothorax.
Clinical worsening
There is no specific treatment for Marfan syndrome. The manifestations of Marfan syndrome such as the cardiac dilatation/dissection and eye dislocation need to be monitored. Progression of these manifestations can be slowed with appropriate treatment.