Reasonable Hypothesis SOP [1] | 51 of 2023 |
Balance of Probabilities SOP [2] | 52 of 2023 |
SOP Bulletin 236 [3]
ICD-10-AM Code: Q87.4
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.
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.
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.
Place holder node for Rulebase for Marfan syndrome
Marfan syndrome - Inability to obtain appropriate clinical management for Marfan syndrome Factor
Last reviewed for CCPS 10 March 1995.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [8387]
8378 [6] the clinical onset of the veteran's Marfan syndrome occurred after the end of the veteran's last period of VEA service. the veteran's Marfan syndrome permanently worsened. the veteran was unable to obtain appropriate clinical management for Marfan syndrome at some time.
8390 [9] the inability to obtain appropriate clinical management for Marfan syndrome contributed to the clinical worsening of the veteran's Marfan syndrome. 8392 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for Marfan syndrome and VEA service for the clinical worsening of Marfan syndrome. 8393 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for Marfan syndrome and operational service for the clinical worsening of Marfan syndrome. or 8394 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for Marfan syndrome and eligible service for the clinical worsening of Marfan syndrome. Clinical worsening and operational service [8393] or 8401 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for Marfan syndrome is causally related to operational service. [14] [15] Clinical worsening and eligible service [8394] or 8402 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for Marfan syndrome is causally related to eligible service. [14] [15]
Marfan syndrome - Pregnancy Factor
Last reviewed for CCPS 10 March 1995.
Investigative Documents
Claimant Report - Pregnancy [CR9027] Preliminary questions [8386]
1169 — the veteran is a woman. [23] the clinical onset of the veteran's Marfan syndrome occurred after the end of the veteran's last period of VEA service. the veteran's Marfan syndrome permanently worsened. the veteran has been pregnant at some time. 8381 — the veteran has established the causal connection between the pregnancy and VEA service for the clinical worsening of Marfan syndrome. 8384 — the veteran has established the causal connection between the pregnancy and operational service for the clinical worsening of Marfan syndrome. or 8385 — the veteran has established the causal connection between the pregnancy and eligible service for the clinical worsening of Marfan syndrome. Clinical worsening and operational service [8384] Clinical worsening and eligible service [8385]
Links
[1] http://www.rma.gov.au/assets/SOP/2023/4a1c53d338/051.pdf
[2] http://www.rma.gov.au/assets/SOP/2023/f50f2462ee/052.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20236.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63834%23comment-form
[5] https://clik.dva.gov.au/ccpsother-31
[6] https://clik.dva.gov.au/node/70750
[7] clikpopup://CCPS/Reject/OnsetAfterService
[8] clikpopup://CCPS/Reject/NoPermanentWorsening
[9] clikpopup://CCPS/Marfan syndrome/ACM - contributed to worsening
[10] clikpopup://CCPS/ACM/NoContribution
[11] clikpopup://CCPS/ACM/NotOpService
[12] clikpopup://CCPS/ACM/NotOperDuties
[13] clikpopup://CCPS/rejectwilful
[14] clikpopup://CCPS/ACM/NoIllness
[15] clikpopup://CCPS/reject8401,8402No
[16] clikpopup://CCPS/Marfan syndrome/ACM - onset prior to operational service
[17] clikpopup://CCPS/ACM/OnsetFailOper
[18] clikpopup://CCPS/ACM/NotEligService
[19] clikpopup://CCPS/ACM/NotEligDuties
[20] clikpopup://CCPS/Marfan syndrome/ACM - onset prior to eligible service
[21] clikpopup://CCPS/ACM/OnsetFailElig
[22] https://clik.dva.gov.au/ccpsclaimant-127
[23] clikpopup://CCPS/reject1169No
[24] clikpopup://CCPS/reject8240No
[25] https://clik.dva.gov.au/reasons-decision-12
[26] clikpopup://CCPS/reject8246No
[27] clikpopup://CCPS/reject8380No
[28] clikpopup://CCPS/reject8247No
[29] clikpopup://CCPS/reject8248No
[30] clikpopup://CCPS/reject11090No