Presentation
A nine-year-old boy with craniodiaphyseal dysplasia (CDD) presented for mandibular reduction. Patients with CDD present problems to the anaesthetist, specifically difficulties with airway management and tracheal intubation. [ncbi.nlm.nih.gov]
In 1974, another doctor presented three more cases of lionitis, drawing attention to the fact that this condition might have a genetic cause. [healthh.com]
1513 Synonym(s): - Prevalence: Inheritance: Autosomal dominant or Autosomal recessive or Not applicable Age of onset: Childhood ICD-10: M85.2 OMIM: 122860 218300 UMLS: C0410539 MeSH: - GARD: 1567 MedDRA: - The documents contained in this web site are presented [orpha.net]
Case Report A 10-year-old-female child presented to our hospital with left-sided epiphora and abnormal features. There was no family history of similar complaints or other genetic disorders. [ijo.in]
Entire Body System
- Pain
We report a 56-year-old woman, mainly suffering from painful legs and the inability to run. Radiologically, marked sclerosis and hyperostosis of the skull bones is present resulting in macrocephaly. [ncbi.nlm.nih.gov]
If they do occur, symptoms may include: Bone Pain, joint pain or stiffness, and neck pain (the pain may be severe and present most of the time) Bowing of the legs and other visible deformities Enlarged head and skull deformities Fracture Headache Hearing [thehorrorzine.com]
The thickening of these bones leads to pain, a waddling gait, muscle weakness, and extreme fatigue. [rarediseases.org]
Abstract Progressive diaphyseal dysplasia is characterized clinically by crippling leg pain, fatigue, headache, poor appetite, muscle weakness, and waddling gait. [pediatrics.aappublications.org]
Individuals affected by sclerosing bone dysplasias may have pain from arthritis, neuralgia caused by pressure, dental pain, and other pain sources related to abnormal bone remodeling. Pain management for each of these sources is different. [encyclopedia.com]
- Anemia
Parkinson disease 1 Fanconi anemia, complementation group M Fanconi anemia, complementation group N Parkinson disease 5 Jankovic Rivera syndrome Parkinson disease 9 Fanconi anemia, complementation group E Fanconi anemia, complementation group F Fanconi [amp.pharm.mssm.edu]
Adrenomyodystrophy Orofaciodigital syndrome 3 Stiff person syndrome Myoclonus-dystonia Sialuria, French type Hartnup disease Toriello-Carey syndrome Thompson Baraitser syndrome Periodic fever, aphthous stomatitis, pharyngitis and adenitis Sickle cell anemia [checkrare.com]
In other cases, transfusions to treat anemia and splenectomy to increase platelets may be recommended. Depending on the form of sclerosing bone dysplasia, treatment to correct hematologic issues may not be effective. [encyclopedia.com]
[…] syndrome Brachydactyly (Temtamy type) Christian-type brachydactyly Coffin-Siris syndrome1 Adams-Oliver Catel-Manzke syndrome Limb hypoplasia reduction defects group This includes the following conditions: Ulnar-mammary syndrome de Lange syndrome Fanconi anemia [emedicine.medscape.com]
sideroblastic, 1 Sanger sequencing of the ALAS2 gene Anemia, sideroblastic, with ataxia Next Generation Sequencing of 2 gene panel: ABCB7, PRNP Anemia, sideroblastic, with ataxia Sanger Sequencing of the ABCB7 gene Anemia, X-linked, with/without neutropenia [pentacorelab.hu]
- Falling
Ein Fall von Osteopathia (sclerotisans) multiplex infantilis. Fortschr. Roentgenstr. 39, 1101–1106 (1929) Google Scholar Griffiths, D.L.: Engelmann's disease. J. [link.springer.com]
Engelmann's disease) report of a sporadic case of the mild form Fallon, MD; Whyte, MP; Murphy, WA Osteosclerosis diafisaria multiple hereditaria tipo Camurati–Engelmann con sindrome de leontiasis osea Farreras Valenti, P; Vilaseca, JM; De Caralt, M Ein Fall [deepdyve.com]
Stromal tissue falls into the class that functions in contributing to the body’s support, the cells that stroma tissues are composed of serve as a matrix in which the other cells are embedded. [wikivisually.com]
It was the fall of 1976, the first day of school at Sandburg Junior High School. The boy that walked into her ninth grade English class and took a seat in the front row was obviously trying to test her on her first day on the job. [patch.com]
Ein Fall von Osteopathia hyperostotica (sclerotisans) multiplex infantilis. Fortschr Roentgenstr 1929;39:1101-6. [7] Heymans O, Gebhart M, Alexiou J, Sokolow Y. Camurati-Engelmann disease. Effects of corticosteroids. [cyberleninka.org]
- Fatigue
Abstract Progressive diaphyseal dysplasia is characterized clinically by crippling leg pain, fatigue, headache, poor appetite, muscle weakness, and waddling gait. [pediatrics.aappublications.org]
The thickening of these bones leads to pain, a waddling gait, muscle weakness, and extreme fatigue. [rarediseases.org]
[…] syndrome Atrial fibrillation A heart conduction disease that is characterized by uncoordinated electrical activity in the heart's upper chambers (the atria), which causes the heartbeat to become fast and irregular and has symptoms palpitations, weakness, fatigue [amp.pharm.mssm.edu]
- Limb Pain
Diagnosis The diagnosis of CED is based on a physical examination after an individual presents with limb pain and weakness. [rarediseases.org]
Iba K, Takada J, Kamasaki H, Oda T, Hatakeyama N, Wada T, Yamashita T: A significant improvement in lower limb pain after treatment with alendronate in two cases of Camurati-Engelmann disease. J Bone Miner Metab. 2008;26(1):107-9. [orthopaedicsone.com]
Gastrointestinal
- Nausea
He was admitted to the hospital after complaining of headaches and nausea. Scans revealed that he had a brain tumor, because the growths had turned inward. [greysanatomy.wikia.com]
[…] patients respond to the administration of synthetic calcitonin but, in some cases, it was discovered that the head circumference had actually decreased; unfortunately, the therapy with synthetic calcitonin leads to a wide range of side-effects, such as nausea [healthh.com]
- Vomiting
[…] respond to the administration of synthetic calcitonin but, in some cases, it was discovered that the head circumference had actually decreased; unfortunately, the therapy with synthetic calcitonin leads to a wide range of side-effects, such as nausea, vomiting [healthh.com]
[…] combined immunodeficiency disease Dihydropyrimidinase deficiency Dihydropyrimidinase (DPD) deficiency is a very rare pyrimidine metabolism disorder with a variable clinical presentation including gastrointestinal manifestations (feeding problems, cyclic vomiting [amp.pharm.mssm.edu]
Jaw & Teeth
- Delayed Dentition
dentition Extensive caries Delayed puberty Hypogonadism TGF-beta1 has an important role in steroidogenesis and spermatogenesis Juvenile vertebrobasilar ischemic stroke reported with skull involvement Enchondroma of the distal phalanx of the R SF reported [orthopaedicsone.com]
Musculoskeletal
- Genu Valgum
At age 7 years progressive genu valgum and unusual epimetaphyseal radiographic appearances suggested hyperparathyroidism. This was confirmed by biochemical tests. [ncbi.nlm.nih.gov]
Genu valgum is the most common clinical manifestation. [ijmdent.com]
In many cases, the prominent ridge may be present at birth, along with a small, pointed chin, wide-spaced eyes (hypertelorism), wide nasal bridge, poor sinus development, clubfoot (coxa valga and genu valgum), and flared metaphyses. [encyclopedia.com]
[…] complex II deficiency Severe intellectual disability-progressive spastic diplegia syndrome Methylmalonic acidemia with homocystinuria type cblD Tetrasomy 21 Rutherfurd syndrome Fine-Lubinsky syndrome Teeth noneruption of with maxillary hypoplasia and genu [checkrare.com]
Skin
- Blister
Porphyria cutanea tarda An acute porphyria characterized by painful, blistering skin lesions that develop on sun-exposed skin. [amp.pharm.mssm.edu]
Psychiatrical
- Suggestibility
We suggest that MR imaging become a routine component of the evaluation of these patients. [ncbi.nlm.nih.gov]
We suggest that MR imaging become a routine component of the evaluation of these patients. Still can't find the full text of the article? We can help you send a request to the authors directly. [pubfacts.com]
Suggestions that contain conocido comúnmente como Results: 440. Exact: 440. Elapsed time: 213 ms. [context.reverso.net]
However, the strong development of the muscular insertions and the degenerative changes in the upper limbs suggest that the mobility problems should not have prevented him from reaching a mature age and from performing essential daily activities. [arpi.unipi.it]
Neurologic
- Seizure
Among the medical signs are dacryocystitis, seizures, mental retardation, and paralysis, each of which is a complication resulting from the diminutive foramina. Peter Bogdanovich 's 1985 film Mask drew public attention to the case of Roy L. [wikidoc.org]
As a result of progressive bony overgrowth, intracranial pressure may increase and lead to brain and nerve compression, cranial nerve palsies, and an increased incidence of seizures. [ncbi.nlm.nih.gov]
[…] and VIII), cortical sclerosis of facial bones, macrocephaly, prominent mandible, facial diplegia, strabismus, exophthalmus, hypertelorism, papilledema, saddle nose, broad flat nasal bridge, choanal stenosis, increased intracranial pressure, headaches, seizures [iofbonehealth.org]
Diagnosis - Craniodiaphyseal dysplasia Among the medical signs are dacryocystitis, seizures, mental retardation, and paralysis, each of which is a complication resulting from the diminutive foramina. [checkorphan.org]
The small cranial foramina induces seizures, mental retardation and paralysis. Craniodiaphyseal dysplasia Treatment Mutation analysis of the TGFB1 gene needs to be conducted to eliminate the possibility of Camurati-Engelmann disease. [illnessopedia.org]
- Dysarthria
Hyperparathyroidism, neonatal severe Mental retardation, autosomal dominant 28 Sensory ataxic neuropathy, dysarthria, and ophthalmoparesis X-Linked mental retardation 90 Mental retardation X-linked syndromic 5 Cutis laxa-corneal clouding-oligophrenia [amp.pharm.mssm.edu]
[…] refractive errors Spinocerebellar ataxia autosomal recessive 7 Agammaglobulinemia, non-Bruton type IL12RB1 deficiency MYD88 deficiency Goldmann-Favre syndrome Usher syndrome, type 1 Progressive deafness with stapes fixation Sensory ataxic neuropathy, dysarthria [checkrare.com]
Workup
[…] muscle mass and muscle weakness ( 39 %) reported Abnormal gait reported in a 2 yr old Waddling gait in 48 % reported Plain radiographs can be useful in the workup of neuromuscular disorders in children Camurati-Engelmann Disease and other dysplasias should [orthopaedicsone.com]
X-Ray
- Increased Bone Density
The individual was affected by a sclerosing bone dysplasia, a genetic disease characterized by increased bone density. [arpi.unipi.it]
Some individuals with a TGFB1 mutation do not develop signs or symptoms of the disease or evidence of increased bone density on X-ray examination (i.e., reduced penetrance). [rarediseases.org]
increased bone density found on routine x-ray studies. [encyclopedia.com]
[…] than the ones occurring at the level of the vertebral body (not in all patients) Increased bone density → confirmation of disease progression Progression → less pronounced changes at the level of the spine and long bones → more pronounced changes at [healthh.com]
bone density in shaft of long bone 0003034 Facial hyperostosis Enlargment of the facial bones Excessive growth of facial bones Excessive growth of facial skeleton Increase in size of the facial bones Overgrowth of facial bones Overgrowth of facial skeleton [rarediseases.info.nih.gov]
Treatment
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Both traditional and newer methods of diagnosis and treatment are discussed. The final section describes recent advances including stem cells, lasers, HIV, tumour markers and PET scan. [books.google.de]
Treatment options are available to manage craniodiaphyseal dysplasia, including surgery and medications to improve quality of life. [wisegeekhealth.com]
We report the only case of CDD in an adult, with stenosis of the cervical canal leading to quadriparesis as a late complication of hyperostosis, and describe the problems associated with its treatment. [ncbi.nlm.nih.gov]
Prognosis
The diagnostic distinction can now be made radiologically by serial skeletal survey which is important for prognosis. [ncbi.nlm.nih.gov]
Prognosis - Craniodiaphyseal dysplasia Not supplied. Treatment - Craniodiaphyseal dysplasia Not supplied. Resources - Craniodiaphyseal dysplasia Not supplied. [checkorphan.org]
Pictures Prognosis The prognosis of CDD is poor despite some management done. The advantages of performing craniofacial remodeling, choanal stenosis surgery and dacryocystorhinostomy among patients is only good for a short period. [ehealthhall.com]
Craniodiaphyseal dysplasia Prognosis The outcome is poor. Generally, benefits from dacryocystorhinostomy, craniofacial remodeling and choanal stenosis surgery persist only for a short time. [primehealthchannel.com]
Due to this rarity, doctors can only provide a prognosis on a case-by-case basis. While some sufferers have lived to their teen years, most children do not. Additionally, the exact mechanism of inheritance is not clear. [fdna.health]
Etiology
The etiology of visual symptoms in some case have been presumed to have occurred solely due to compressive optic neuropathy[19,20]; however, symptoms can also be because of papilloedema secondary to raised intracranial pressure [15]. [cyberleninka.org]
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.de]
The discussion covers the phenotype spectrum, epidemiology, mode of inheritance, pathogenesis, and clinical profile of each condition, all of which is accompanied by a wealth of illustrations. [books.google.com]
Relevant External Links for SOST Genetic Association Database (GAD) SOST Human Genome Epidemiology (HuGE) Navigator SOST Atlas of Genetics and Cytogenetics in Oncology and Haematology: SOST No data available for Genatlas for SOST Gene Bone dysplasia sclerosteosis [genecards.org]
A genetic and epidemiological study. Clin Genet 31:86-90 109. Bollerslev J, Grodum E, Grcntved A (1987) Autosomal dominant osteopetrosis. J Laryngol Otol 101:1088-1091 110. [slideheaven.com]
Pathophysiology
Although the syndrome is rare, its pathophysiological and therapeutic considerations may be applicable to the management of stenosis of the spinal canal in other hyperostotic bone disorders. [ncbi.nlm.nih.gov]
This disease is characterized by defective metaphyseal remodeling, which leads to widening of metaphyseal region of long bones.[1],[2],[3],[4] As per Pyle, who first described the disease in 1931, failure of bone resorption is the pathophysiological basis [ijmdent.com]
Stein SA, Witkop C, Hills S, Fallon MD (1983) Sclerosteosis: neurogenic and pathophysiologic analysis of an American kinship. Neurology 33:267-277 224. Sugiura Y, Yasuhara T (1975) Sclerosteosis. J Bone Joint Surg [Am] 57:273-276 225. [slideheaven.com]
Prevention
It has been observed heterozygous mutations located in the secretion signal of the SOST gene in two CDD patients and demonstrated that these SOST mutations prevent sclerostin secretion resulting in increased bone formation. [iofbonehealth.org]
Heterozygous mutations located in the secretion signal of the SOST gene prevent sclerostin secretion and can be responsible for craniodiaphyseal dysplasia. [nectarmutation.org]
Prevention - Craniodiaphyseal dysplasia Not supplied. [checkorphan.org]
However, the strong development of the muscular insertions and the degenerative changes in the upper limbs suggest that the mobility problems should not have prevented him from reaching a mature age and from performing essential daily activities. [arpi.unipi.it]
It is always best to seek medical attention at an early phase of life, particularly even during infancy period, so that earlier management can be started to control and prevent the progression of the problem into its worst case. [ehealthhall.com]