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]
Presented here is a 25 years-old Persian female presented to our clinic with the chief complaint of low back pain and limping. She explained that her problem had been present for a long time. [sudjms.net]
Intermediate osteopetrosis patients present with abnormal stature and tend to exhibit manifestations at the end of the first decade. [jclpca.org]
Those who survive childbirth present with general failure to thrive, bone marrow failure or characteristic facies. [radiopaedia.org]
Entire Body System
- Recurrent Infection
Death is secondary to bone marrow failure with recurrent infection, massive hemorrhage or transformation to leukemia and its sequelae. The only curative approach is allogeneic bone marrow transplantation. [radiopaedia.org]
Other presentations include failure to thrive and recurrent infection, both secondary to the underlying anaemia and bone marrow involvement. [adc.bmj.com]
Affected individuals also have a malfunctioning immune system (immunodeficiency), which allows severe, recurrent infections to develop. [medlineplus.gov]
- Asymptomatic
The patient had an asymptomatic younger brother who had dense metaphyseal bands noted on radiography at the ages of 8 months and 2 years. [omim.org]
Osteopetrosis tarda is usually discovered accidentally on routine radiographs and is often asymptomatic; however, patients may present because of related degenerative joint disease. [aafp.org]
Our case was also asymptomatic since birth, but radiographic examinations revealed characteristic findings of osteopetrosis. [jclpca.org]
Most patients have a normal lifespan and are asymptomatic approximately 50% of the time. 3 The current patient had a diagnosis of osteopetrosis tarda. [healio.com]
In many cases, individuals may exhibit no symptoms (asymptomatic). Affected individuals may also experience rhinitis, hepatosplenomegaly, anemia and extramedullary hematopoiesis. [rarediseases.org]
Musculoskeletal
- Osteoporosis
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]
Lumbar spine showed osteoporosis (T-Score -2.9 SD), whereas the hip showed normal limits (T-Score -1.0SD). [jmedicalcasereports.biomedcentral.com]
"An SNX10 mutation causes malignant osteoporosis of infancy". Journal of Medical Genetics. 49 (4): 221–6. doi : 10.1136/jmedgenet-2011-100520. PMID 22499339. [en.wikipedia.org]
Onset
- Neonatal Onset
Symptoms and severity can vary greatly, ranging from neonatal onset with life-threatening complications (such as bone marrow failure) to the incidental finding of osteopetrosis on X-ray. [malacards.org]
onset with life-threatening complications (such as bone marrow failure) to the incidental finding of osteopetrosis on X-ray. [rarediseases.info.nih.gov]
Neurologic
- Seizure
In addition, some affected individuals may have seizures due to low blood calcium levels. Intellectual disability (usually mild to moderate) may result from recurrent seizures and/or brain abnormalities that may occur in some individuals with ARO1. [counsyl.com]
Depending on severity and age of onset, features may include fractures, short stature, compressive neuropathies (pressure on the nerves), hypocalcemia with attendant tetanic seizures, and life-threatening pancytopenia. [malacards.org]
Patients can also present with seizures due to low levels of calcium in the blood. Symptoms of severe neurodegeneration can manifest in rare variants of malignant infantile osteopetrosis. [rarediseases.org]
Workup
Diagnostic workup required anesthetic procedures for biopsies, bone marrow aspirations, and catheter placements. [scielo.org.mx]
X-Ray
- Increased Bone Density
Osteopetrosis is a disorder of increased bone density due to defects in bone resorption. [ctgt.net]
Phenotype Intermediate form, bone deformities, increased bone density (sclerosis) and generalized high bone mass, pain, chondrolysis, dense metaphyseal bands. Main biochemical alterations Adult/intermediate forms: high CK-BB, high bone ALP. [iofbonehealth.org]
NIH Rare Diseases : 54 Osteopetrosis refers to a group of rare, inherited skeletal disorders characterized by increased bone density and abnormal bone growth. [malacards.org]
Van Wesenbeeck L et al. (2003) Six novel missense mutations in the LDL receptor-related protein 5 (LRP5) gene in different conditions with an increased bone density. [^] 2. [moldiag.com]
Treatment
Make the best clinical decisions with an enhanced emphasis on evidence-based practice and expert opinions on treatment strategies. Zero in on the most relevant and useful references with the aid of a more focused, concise bibliography. [books.google.com]
You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments. [rarediseases.info.nih.gov]
Treatment Treatment for osteopetrosis is largely based on symptoms. 1 Autosomal dominant osteopetrosis requires no treatment unless pathologic fractures exist. [healio.com]
Treatment Hematopoietic stem cell transplantation represents the definitive treatment of autosomal recessive MIO. [scielo.org.mx]
Prognosis
What is the prognosis for a person with Autosomal Recessive Osteopetrosis Type 1? Generally, the prognosis for children with ARO1 is poor. [counsyl.com]
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]
Further studies of the long term prognosis in this group of children are needed. Reports of adults with autosomal recessive osteopetrosis are rare. [adc.bmj.com]
The prognosis is poor if untreated. The classic radiographic features include, endobone or "bone-within-bone" appearance in the spine, pelvis and proximal femora, upper limbs, and short tubular bones of the hand. [en.wikipedia.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]
To date, seven genes at least have independently been linked in the etiology of autosomal recessive osteopetrosis, among which TCIRG1, CLCN7, and OSTM1 have been reported as the most frequently affected. [scielo.org.mx]
Epidemiology
Chapters on epidemiology, embryology, non-syndromic hearing loss, and syndromic forms of hearing loss have all been updated with particular attention to the vast amount of new information on molecular mechanisms, and chapters on clinical and molecular [books.google.com]
Relevant External Links for CLCN7 Genetic Association Database (GAD) CLCN7 Human Genome Epidemiology (HuGE) Navigator CLCN7 Atlas of Genetics and Cytogenetics in Oncology and Haematology: CLCN7 No data available for Genatlas for CLCN7 Gene Molecular and [genecards.org]
II autosomal dominant osteopetrosis (ADO II), as opposed to ADO I, which is characterized by a diffuse osteosclerosis with a thickened cranial vault. (2) The prevalence of ADO ranges in most countries between 1/100,000 and 0.2/100,000, but a detailed epidemiological [onlinelibrary.wiley.com]
BOLLERSLEV: " Osteopetrosis, A genetic and epidemiological study ", CLIN. GENET., vol. 31, 1987, pages 86 - 90 K. CHU; D.L. KOLLER; R. SNYDER; T. FISHBURN; D. LAI; S.G. WAGUESPACK; T. FOROUD; M.J. [google.sr]
Pathophysiology
Pathophysiology The primary underlying mechanism involved in all forms of osteopetrosis is the failure of normal osteoclastic bone resorption. [aafp.org]
Pathophysiology and treatment. Clin Orthop 1993;294:64-78. [Figure 1], [Figure 2] [wajradiology.org]
" The physiology and pathophysiology of the osteoclast ", CLIN REW BONE MINER METAB, vol. 10, 2012, pages 71 - 97, XP035048264, DOI: doi:10.1007/s12018-011-9086-6 CLEIREN E ET AL: " Albers-Sch nberg disease (autosomal dominant osteopetrosis, type II [google.sr]
Pathophysiology and treatment. Clin Orthop Relat Res 294:64–78 PubMed Google Scholar 41. Karakida K et al (2010) Multiple giant cell tumors in maxilla and skull complicating Paget’s disease of bone. [link.springer.com]
Prevention
Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. [books.google.es]
No surgical procedure was shown to be the best to prevent the progression of oral infection. Taking into account the patient's general condition, if the patient develops severe symptomatic and refractory osteomyelitis surgery should be considered. [pesquisa.bvsalud.org]
Siems W, Salerno C, Crifò C et al (2009) Beta-carotene degradation products – formation, toxicity and prevention of toxicity. Forum Nutr 61:75–86 CrossRef PubMed 22. [springermedizin.de]
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]
No surgical procedure was proven the best to prevent the progression of oral infection taking into account the patient's general condition. [scielo.isciii.es]