Presentation
present with surgical or medical complications. [aafp.org]
[…] offers the only hope for cure. [5] We present the case of a female infant with MIOP, who presented to us with hematological abnormalities, failure to thrive and blindness. [wajradiology.org]
Those who survive childbirth present with general failure to thrive, bone marrow failure or characteristic facies. [radiopaedia.org]
In this study, we present our experience with HSCT for IMO patients comparing different types of conditioning regimens. [scinapse.io]
"Osteomyelitis of mandible"-a rare presentation of osteopetrosis. Ind J Radiol Imaging. 2006 Apr 1;16(2):253. Tsuji Y, Ito S, Isoda T, Kajiwara M, Nagasawa M, Morio T, et al. [msjonline.org]
Entire Body System
- Anemia
There may be obliteration of the marrow spaces, causing anemia. [medical-dictionary.thefreedictionary.com]
Infantile/severe forms: low Ca, high PTH, high 1,25(OH)2D, high CK-BB, high AP, anemia. [iofbonehealth.org]
Other manifestations are anemia, [5] infections, sensory disorders and fractures. [mjdrdypu.org]
If untreated, infantile osteopetrosis usually results in death by the first decade of life due to severe anemia, bleeding or infection. [elsevier.es]
Provides better results in combination therapy with calcitriol Erythropoietin Erythropoietin is be used to correct anemia. It stimulates the bone marrow to produce more red blood cells. [boneandspine.com]
- Developmental Delay
Developmental delay, if present, is usually consistent with the extent of physical and visual impairment, and the severity of chronic illness the child has suffered. 13 23 Children with classical congenital osteopetrosis should not have central nervous [adc.bmj.com]
Other symptoms may include intracranial calcifications, sensorineural hearing loss and developmental delays. The blood is slightly acidic and has a high chloride concentration (hyperchloremic acidosis). [mjdrdypu.org]
Delayed physical developmental milestones were noted. Patient was pale and was not icteric. Abdomen was distended with hepatomegaly with the liver noted to be 4cm and splenomegaly with the spleen noted to be 7cm. [panafrican-med-journal.com]
- Lymphedema
In addition to abnormally dense bones, the X-linked form of the disorder is characterized by abnormal swelling caused by a buildup of fluid (lymphedema) and a condition called anhydrotic ectodermal dysplasia that affects the skin, hair, teeth, and sweat [ghr.nlm.nih.gov]
Osteopetrosis, Lymphedema, Anhidrotic Ectodermal Dysplasia and Immunodeficiency in a Boy and Incontinentia Pigmenti in His Mother. Pediatrics. 2002;109(6); 1-6. Pangrazio A, Pusch M, Caldana E et al. [rarediseases.org]
Gastrointestinal
- Failure to Thrive
Those who survive childbirth present with general failure to thrive, bone marrow failure or characteristic facies. [radiopaedia.org]
[…] to us with hematological abnormalities, failure to thrive and blindness. [wajradiology.org]
Autosomal recessive inheritance - Bone pain - Bowed diaphysis / diaphyses / long bones - Craniostenosis / craniosynostosis / sutural synostosis - Delayed dentition / eruption of teeth / lack of eruption of teeth - Ecchymoses - Epiphyseal anomaly - Failure [csbg.cnb.csic.es]
[…] to thrive, hydrocephalus, seizures (tetany), hepato-splenomegaly, bone marrow insufficiency, pancytopenia, anemia. [iofbonehealth.org]
pancytopenia; bleeding; infection; failure to thrive; growth retardation; proptosis; blindness; deafness; hydrocephalus Infancy Poor Marble bone disease Autosomal recessive Abnormal osteoclastic bone resorption No bone marrow failure; renal tubular [aafp.org]
Cardiovascular
- Hypertension
These findings indicated that the patient suffered from pulmonary hypertension. Despite intensive care, the patient died of cardiac failure at the age of 16 months. [jstage.jst.go.jp]
Occasional - Apnea / sleep apnea - Cranial nerves palsy - Hemorrhage / hemorrhagic syndrome / excessive / long-lasting bleeding - Hypocalcemia - Hypophosphatemia - Pulmonary artery stenosis / absence / hypoplasia of the pulmonary branches - Pulmonary hypertension [csbg.cnb.csic.es]
Captopril reduces portal pressure effectively in portal hypertensive patients with low portal venous velocity. J Gastroenterol 2003;38:1150-4. [ PUBMED ] 20. Otero JE, Gottesman GS, McAlister WH, Mumm S, Madson KL, Kiffer-Moreira T, et al. [aeronline.org]
Hepatomegaly ; Hydrocephalus ; Hypocalcemia ; Hypophosphatemia ; Lymphadenopathy ; Macrocephaly ; Narrow chest ; Nystagmus ; Opsoclonus ; Optic nerve compression ; Osteopetrosis ; Otitis media ; Pallor ; Premature loss of primary teeth ; Pulmonary arterial hypertension [mousephenotype.org]
Infantile Malignant Osteopetrosis Resembling Juvenile Myelomonocytic Leukemia in Infants. ( 25982139 ) Strauss A...Schulz A 2015 10 A fatal case of infantile malignant osteopetrosis complicated by pulmonary arterial hypertension after hematopoietic stem [malacards.org]
Skin
- Skin Disease
The severity of the disease is variable. [rarediseases.org]
Ears
- Hearing Impairment
Abnormality of the ribs ; Abnormality of visual evoked potentials ; Anemia ; Apnea ; Bone pain ; Bowing of the long bones ; Bruising susceptibility ; Chronic rhinitis ; Cranial nerve paralysis ; Craniosynostosis ; Delayed eruption of teeth ; Growth delay ; Hearing [mousephenotype.org]
Hearing impairment in association with distal renal tubular acidosis among Saudi children. J Laryngol Otol. 1995;109:930–4. 7. Becelli R, Sassano P. The maxillofacial functional and esthetic surgical aspects in a case of osteopetrosis. [aafp.org]
Bone foramina put pressure on cranial nerves and lead to visual and hearing impairments and cranial nerve palsies. [aeronline.org]
impairment Hypocalcemia Malignant infantile osteopetrosis [ edit ] Autosomal recessive osteopetrosis (ARO), also known as Malignant infantile osteopetrosis is a rare type of skeletal dysplasia characterized by a distinct radiographic pattern of overall [en.wikipedia.org]
Musculoskeletal
- Fracture
The past medical history of the patient revealed that he suffered from multiple fractures from the age of 10 years. Most of these fractures were due to trivial trauma. [ijdr.in]
May show alternating bands, known as the rugger-jersey sign Fractures or osteomyelitis. [boneandspine.com]
Fractures occur frequently and deformities of the head, chest, or spine develop. There is no treatment and the prognosis is unfavorable. There may be obliteration of the marrow spaces, causing anemia. [medical-dictionary.thefreedictionary.com]
Review Topic QID: 3562 ML 3 Select Answer to see Preferred Response PREFERRED RESPONSE 1 (OBQ08.110) A 22-year-old male sustained a distal radius fracture following a fall down the stairs. [orthobullets.com]
- Osteoporosis
National Institutes of Health Osteoporosis and Related Bone Diseases—National Resource Center, August 2000. Available online at http://www.osteo.org (accessed January 16, 2005). Tish Davidson, A.M. Maureen Haggerty [healthofchildren.com]
Metabolic anomalies - Metaphyseal anomaly - Movement disorder - Mutiple fractures / bone fragility - Narrow rib cage / thorax - Nasal congestion / sinusitis / rhinitis / rhinorrhea - Nystagmus - Optic nerve anomaly / optic atrophy / anomaly of the papilla - Osteoporosis [csbg.cnb.csic.es]
Updated clinical guidelines for diabetes, lipid disorders, obesity management, osteoporosis, and more, as well as essential treatment updates for the medical management of acromegaly, Cushing's Disease, hypercalcemia, and diabetes mellitus. [books.google.com]
[…] syndrome, Hyperostosis, endosteal, Osteosclerosis, Exudative vitreoretinopathy, Osteopetrosis late-onset form type 1, LRP5 primary osteoporosis AD/AR/Digenic 57 196 OSTM1 Osteopetrosis, autosomal recessive 5 AR 5 9 PTDSS1 Lenz-Majewski hyperostotic dwarfism [blueprintgenetics.com]
Osteopetrosis and osteoporosis: two sides of the same coin. Hum MoI Genet 1999:8:1839-1846. [healio.com]
Workup
Diagnostic workup required anesthetic procedures for biopsies, bone marrow aspirations, and catheter placements. [scielo.org.mx]
Treatment
Rapidly consult with trusted authorities thanks to new expert-opinion treatment strategies and recommendations. Zero in on the most relevant and useful references with the aid of a more focused, concise bibliography. [books.google.com]
Treatment Please input treatment information here. You can also add sub-section(s) at will. Labs working on this disease Please input related labs here. References Please input treatment information here. [pediascape.org]
Long-term treatment of osteopetrosis with recombinant human interferon gamma. [boneandspine.com]
Management and treatment Patients may require blood transfusions, treatment for infections and management of their developmental and visual problems. [orpha.net]
Prognosis
[…] before age 1year Intermediate Seen in childhood Autosomal recessive/dominant No bone marrow failure Poor prognosis Not applicable Adult-onset Seen in adulthood Autosomal dominant No bone marrow failure Often diagnosed incidentally Good prognosis Other [boneandspine.com]
What is the prognosis for a person with Autosomal Recessive Osteopetrosis Type 1? Generally, the prognosis for children with ARO1 is poor. [counsyl.com]
Prognosis The prognosis is variable but improves if bone marrow transplant is performed early. The documents contained in this web site are presented for information purposes only. [orpha.net]
The prognosis for those who are not treated is poor, especially in children who have early visual and hematologic impairment 5. autosomal dominant osteopetrosis ( bone-within-a-bone appearance is AD) chronic renal failure oxalosis pyknodysostosis physiological [radiopaedia.org]
Etiology
Extensive updates offer you the latest knowledge on etiology, imaging, differential diagnosis, and non-operative and surgical techniques for a wide range of pediatric orthopaedic conditions. "... delivers the most comprehensive text on this subject." [books.google.com]
Synonyms infantile malignant osteopetrosis Etiology Please input defination information here. Diagnosis Please input defination information here. Symptoms Please input defination information here. Treatment Please input treatment information here. [pediascape.org]
Etiology The disease is heterogeneous. Over 50% of cases are due to mutations in the TCIRG1 gene and another 10% are due to mutations in the CLCN7 gene. A small number of patients have been described with mutations in the OSTM1 gene. [orpha.net]
Epidemiology
[…] osteopetrosis Classification (Orphanet): - Rare bone disease - Rare developmental defect during embryogenesis - Rare eye disease - Rare genetic disease Classification (ICD10): - Congenital malformations, deformations and chromosomal abnormalities - Epidemiological [csbg.cnb.csic.es]
Summary Epidemiology Incidence is estimated at 1/200 000 live births. Osteopetrosis has been reported in most ethnic groups, although, as the disease is very rare, it is more frequently seen in ethnic groups where consanguinity is common. [orpha.net]
Pathophysiology
Recent developments in the understanding of the pathophysiology of osteopetrosis. Eur J Endocrinol 1 996; 1 34: 1 43- 1 56. 10. Lazner F, Gowen M, Pavasovic D, Kola 1. Osteopetrosis and osteoporosis: two sides of the same coin. [healio.com]
Pathophysiology The primary underlying mechanism involved in all forms of osteopetrosis is the failure of normal osteoclastic bone resorption. [aafp.org]
Pathophysiology of Osteopetrosis [For details on bone physiology and remodeling, please refer to Bone Anatomy and Physiology ] Osteoblasts are the bone-forming cells of fibroblastic origin. [boneandspine.com]
Pathophysiology and treatment. Clin Orthop 1993;294:64-78. [Figure 1], [Figure 2] [wajradiology.org]
We assessed for a history of fractures, osteomyelitis, and/or osteonecrosis (for brevity, subsequently referred to only as osteomyelitis given the difficulty in determining retrospectively the exact pathophysiology of this problem), visual loss, and bone [academic.oup.com]
Prevention
Prevention Osteopetrosis is an inherited disease that cannot be prevented. [healthofchildren.com]
No surgical procedure was proven the best to prevent the progression of oral infection taking into account the patient's general condition. [elsevier.es]
Bone resorption prevents the enlargement of bone pores, resulting in bone marrow damage that is associated with hematological disorders. [aeronline.org]
New treatments that target RANKL/RANK signaling offer promise in ARO subtypes that currently cannot be cured by HSCT and to prevent hypercalcemia after HSCT. [blueprintgenetics.com]