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
- Disability
In the American medical television series comedy-drama Grey's Anatomy episode " Yesterday ", a teenage boy is depicted with lionitis. [1] Diagnosis Among the medical signs are dacryocystitis, seizures, intellectual disability, and paralysis, each of which [wikidoc.org]
So this disabled character was created to maintain stereotypes, and then killed to service the most annoying love triangle ever created. He never got to be a person, he was just his disability and the lessons that his disability could teach us all. [capitalismbad.blogspot.com]
In a 1986 interview, she explained how she “always thought showing Rocky’s courage would help a lot of disabled kids — and the parents of disabled kids; sometimes they are more disabled than their kids. [firsttoknow.com]
The underlying genetics are uncertain. [1] Diagnosis Among the medical signs are dacryocystitis, seizures, intellectual disability, and paralysis, each of which is a complication resulting from the diminutive foramina. [ipfs.io]
Tullis said she "always thought showing Rocky's courage would help a lot of disabled kids and the parents of disabled kids — sometimes they are more disabled than their kids. I didn't realize the movie would be about me, too. [old.seattletimes.com]
- Short Stature
stature (growth may be markedly retarded and delayed sexual maturation has been reported), difficulty breathing through the nostrils, and respiratory obstruction. [iofbonehealth.org]
stature ; Thickened ribs ; Wide nasal bridge Associated Genes SOST (Withdrawn symbols: DAND6, VBCH ) Mouse Orthologs Sost (Withdrawn symbols: 5430411E23Rik ) Source OMIM:122860 (names, synonyms, disease associated genes), Orphanet (disease classes), [mousephenotype.org]
stature and fibular hypoplasia Gay Feinmesser Cohen syndrome Lipoic acid synthetase deficiency Saito Kuba Tsuruta syndrome PARC syndrome Bone dysplasia lethal Holmgren type Glaucoma, Ectopia, Microspherophakia, Stiff joints and Short stature syndrome [checkrare.com]
stature As affected children get older, other symptoms will appear, as a direct consequence of the disease progression. [fdna.health]
The advantages of performing craniofacial remodeling, choanal stenosis surgery and dacryocystorhinostomy among patients is only good for a short period. [ehealthhall.com]
- Epilepsy
Hyperostosis can cause progressive foraminal stenosis leading to palsy of cranial nerves, epilepsy and mental retardation. [ncbi.nlm.nih.gov]
There is compression of cranial nerves, the intracranial contents and the foramen magnum, which commonly results in: Blindness Epilepsy Facial diplegia Loss of hearing Mental retardation Stenosis of the cervical canal may cause quadriparesis (a late complication [primehealthchannel.com]
Auralcephalosyndactyly Albinism, minimal pigment type Spastic paraplegia 15 Adenosine monophosphate deaminase 1 deficiency Ring chromosome 1 Lhermitte-Duclos disease Limb-girdle muscular dystrophy type 2F Flynn Aird syndrome Benign familial neonatal epilepsy [checkrare.com]
Autosomal dominant nocturnal frontal lobe epilepsy Autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE) is a seizure disorder characterized by intermittent dystonia and/or choreoathetoid movements that begin during sleep. [amp.pharm.mssm.edu]
- 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]
Gastrointestinal
- Diarrhea
Página 54 - Pedigree demonstrating a sex-linked recessive condition characterized by draining ears, eczematoid dermatitis and bloody diarrhea. Página 51 - Selective IgA deficiency: presentation of 30 cases and a review of the literature. [books.google.es]
29091140 ) Villela AD...Santos DS 2017 6 Chemoprotection of murine hematopoietic cells by combined gene transfer of cytidine deaminase (CDD) and multidrug resistance 1 gene (MDR1). ( 26651614 ) Brennig S...Moritz T 2015 7 Familial aggregation of chronic diarrhea [malacards.org]
[…] hemimelia-polysyndactyly-triphalangeal thumb Acheiropodia Tetra-amelia Terminal transverse defect Al-Awadi/Raas-Rothschild limb-pelvis hypoplasia-aplasia Fuhrmann syndrome RAPADILINO (radial ray defect, patellae hypoplasia or aplasia and cleft or highly arched palate, diarrhea [emedicine.medscape.com]
Marie Unna hereditary hypotrichosis 1 Trichohepatoenteric syndrome Syndromic diarrhea (SD), or tricho-hepato-enteric syndrome (THE), is a severe congenital enteropathy manifesting as intractable diarrhea in the first month of life with failure to thrive [amp.pharm.mssm.edu]
Landau-Kleffner syndrome Tetrasomy 9p Brachydactylous dwarfism Mseleni type Synovial chondromatosis, familial with dwarfism Florid cemento-osseous dysplasia Optic atrophy polyneuropathy deafness 2-methylbutyryl-CoA dehydrogenase deficiency Congenital chloride diarrhea [checkrare.com]
Ears
- Hearing Impairment
[…] nasal ridge ; Cortical sclerosis ; Craniofacial hyperostosis ; Craniofacial osteosclerosis ; Depressed nasal bridge ; Diaphyseal sclerosis ; Elevated alkaline phosphatase ; Elevated circulating parathyroid hormone level ; Facial diplegia ; Headache ; Hearing [mousephenotype.org]
Hearing impairment in Engelmann disease. Am J Otol 1996;17(1):26-9. [13] Tibesar RJ, Brissett AE, Shallop JK, Driscoll CL. Internal auditory canal decompression and cochlear implantation in Camurati-Engelmann disease. [cyberleninka.org]
These may include: Conductive hearing impairment: sounds are no longer carried to the inner ear as they should be Stenosis of the external auditory canal: the external auditory canal becomes narrower Optic atrophy: eyes begin to become smaller and weaker [fdna.health]
The compression of the cranial nerves and the thickening of skull bones can lead to some signs and symptoms which are: Facial paralysis Blindness Difference in the size of the eyes Hearing impairment Abnormality of the ribs Epilepsy Mental retardation [ehealthhall.com]
impairment Conductive deafness Conductive hearing loss [ more ] 0000405 Stenosis of the external auditory canal Narrowing of passageway from outer ear to middle ear 0000402 5%-29% of people have these symptoms Optic atrophy 0000648 Percent of people [rarediseases.info.nih.gov]
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]
- Headache
[…] especially of II 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 [iofbonehealth.org]
Concave nasal ridge ; Cortical sclerosis ; Craniofacial hyperostosis ; Craniofacial osteosclerosis ; Depressed nasal bridge ; Diaphyseal sclerosis ; Elevated alkaline phosphatase ; Elevated circulating parathyroid hormone level ; Facial diplegia ; Headache [mousephenotype.org]
Craniodiaphyseal dysplasia triggered severe headaches, paralysis, and ruptured blood vessels. His condition was so unusual that only a handful of other cases have ever been reported. [firsttoknow.com]
Abstract Progressive diaphyseal dysplasia is characterized clinically by crippling leg pain, fatigue, headache, poor appetite, muscle weakness, and waddling gait. [pediatrics.aappublications.org]
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]
- Papilledema
Subsequent x-ray films of the optic canals, however, revealed reconstitution of osseous optic canals bilaterally, and papilledema has returned in one eye. [thejns.org]
[…] optic nerve canals, progressive hearing loss, progressive visual loss (cranial nerve compression, especially of II and VIII), cortical sclerosis of facial bones, macrocephaly, prominent mandible, facial diplegia, strabismus, exophthalmus, hypertelorism, papilledema [iofbonehealth.org]
Reconstitution of osseous optic canals occurs rather rapidly, and there may be a recurrence of papilledema. Most patients have been found to die in childhood in the few reported cases of CDD. [primehealthchannel.com]
Papilledema might recur and there is the possibility of a rapid reconstitution of the osseous optic canals of the affected eyes. [ehealthhall.com]
Elevated alkaline phosphatase ; Elevated circulating parathyroid hormone level ; Facial diplegia ; Headache ; Hearing impairment ; Hypertelorism ; Increased intracranial pressure ; Infantile onset ; Macrocephaly ; Mandibular prognathia ; Optic atrophy ; Papilledema [mousephenotype.org]
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]
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 [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]