Presentation
This poor quality type I collagen is present in reduced amounts in the bone matrix. [oif.org]
In addition to this some key clinical observations may be present such as: Blue Sclerae (whites of the eyes) – this is a characteristic feature of OI Type 1 but is not present in all forms of OI. [oiaustralia.org.au]
Scoliosis is present in most of the adults shown. One has orthopedic rods in the femurs and tibia, and another has a rod in the radius (arrowheads). [nejm.org]
A new finding of the present study is that patients less than 2 yr of age had low uNTX/uCr. [academic.oup.com]
The clinical courses of the infants presented in this report raise several important points. [jmg.bmj.com]
Entire Body System
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Problems at School
The absence of obvious symptoms in some children may contribute to problems at school or with peers. [oif.org]
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Sudden Infant Death Syndrome
However, he died unexpectedly at 6 weeks of age with the cause of death being attributed to sudden infant death syndrome (SIDS). Necropsy showed abnormal rib morphology with anterior flaring and evidence of a healing left femoral fracture. [jmg.bmj.com]
Course
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Mild Clinical Course
clinical course can follow when angulated femora are detected in early pregnancy or at birth. [jmg.bmj.com]
Gastrointestinal
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Acute Diarrhea
Learning and developmental delays and brain anomalies have been observed in some patients. (615220) MalaCards based summary : Osteogenesis Imperfecta, Type Xv, also known as oi15, is related to acute diarrhea and urinary system disease. [malacards.org]
Musculoskeletal
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Chvostek Sign
The decrease in Ca 2 during the first 3 d was not associated with serious clinical manifestations, although Chvostek’s sign became positive in many patients. None of the patients required iv Ca substitution during any treatment cycle. [academic.oup.com]
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Narrow Thorax
In 1983, Maclean et al described an infant with broad, angulated femora and several minor skeletal abnormalities that included a narrow thorax, platyspondyly, and micrognathia. 7 An unusual feature of the proband's skeletal deformity was that the bowing [jmg.bmj.com]
Neurologic
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Screaming
He screams when he is picked up or when someone touches his leg. An x-ray reveals a fractured femur, as well as several healed rib fractures. ...Parents bring their one-year-old daughter to the emergency room. [oif.org]
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Forgetful
Morson’s Content Marketing Executive, Jessica Tabinor has been the inspiration behind our latest #50WeeksOfGiving donation… @BrittleBoneUK July 15th 2019 01:07:00 RT @samrenke: Lovely to be on @GMB this morning with @susannareid100 @kategarraway and not forgetting [brittlebone.org]
Workup
Other causes of cranial vascular diseases were excluded after the clinical and laboratory workup. As a result, these findings were interpreted as vasculopathic changes secondary to vascular fragility caused by the collagen abnormality in OI. F ig 1. [ajnr.org]
Osteogenesis Imperfecta: Differential Diagnosis & Workup. . Website updated: 2008. Website accessed: April 5, 2010. Gahagan S, Rimsza ME. Child Abuse or Osteogenesis Imperfecta: How Can We Tell?. Journal of Pediatrics; 88(5): 987-992. 1991. [physio-pedia.com]
Establishing a diagnosis As with any disorder, a detailed history is a crucial element of the diagnostic workup. [nature.com]
The workup was identical in the two groups and comprised clinical examination, biochemistry, lumbar spine densitometry, evaluation by occupational therapists and physiotherapists, as well as radiographs and orthopedic consultations as required for clinical [academic.oup.com]
Treatment
This treatment involves inserting metal rods through the length of the long bones to strengthen them. The treatment also prevents and/or corrects deformities. [checkorphan.org]
None of the patients required iv Ca substitution during any treatment cycle. [academic.oup.com]
If you have questions about which treatment is right for you, talk to your healthcare professional. [rarediseases.info.nih.gov]
Your child’s healthcare provider will figure out the best treatment based on: How old your child is Your child’s overall health and medical history How sick your child is How well your child handles certain medicines, treatments, or therapies If your [hopkinsmedicine.org]
Nonsurgical Treatment In most cases, treatment is nonsurgical. Medication. Medical bisphosphonates, given to the child either by mouth or intravenously, slow down bone resorption. [orthoinfo.aaos.org]
Prognosis
Prognosis - Osteogenesis imperfecta- type 4 The prognosis for an individual with OI varies greatly depending on the number and severity of symptoms. [checkorphan.org]
A metal rod is inserted in the bones to strengthen, correct, and prevent deformity. ( 8, 9, 10 ) Osteogenesis Imperfecta Prognosis The prognosis varies depending on the number and severity of the symptoms. [healthool.com]
Expectations (prognosis) How well a person does depends on the type of OI they have. Type I, or mild OI, is the most common form. Persons with this type can live a normal lifespan. [de.slideshare.net]
Osteogenesis Imperfecta Prognosis The prognosis of this condition depends on various factors such as Proper treatment The exact genetic defect causing OI The particular type of OI that the individual is suffering from If the person is suffering from a [primehealthchannel.com]
Etiology
Part I covers general principles and techniques, including etiology, clinical evaluation, imaging as well as different surgical methods. [books.google.ro]
Etiology OI type IV can be autosomal dominant and caused by mutations in the COL1A1 and COL1A2 genes (17q21.31-q22 and 7q22.1 respectively) or it can be autosomal recessive and caused by mutations of the PPIB gene (15q21-q22) (sometimes described as OI [orpha.net]
Etiology Type 1 collagen is a triple helix formed by two copies of the alpha 1 chain and one copy of the alpha 2 chain. [emedicine.medscape.com]
Epidemiology
Summary Epidemiology The overall prevalence of OI is estimated at between 1/10,000 and 1/20,000 but the prevalence of type IV is unknown. [orpha.net]
EPIDEMIOLOGY AND PREVALENCE Osteogenesis Imperfecta occurs in approximately 1 in 20,000 live births. More than 200 gene mutations have been associated with the OI phenotype. [gwumc.edu]
Epidemiology The overall incidence of OI is approximately 1 case for every 20,000 live births; however, the mild form is underdiagnosed, and the actual prevalence may be higher. [emedicine.medscape.com]
Pathophysiology
Pathophysiology OI is the result of mutations affecting the synthesis and processing of type I collagen, the major protein in bone and connective tissue. [clinicaladvisor.com]
What is Osteogenesis Imperfecta A hereditary condition resulting from a decrease or abnormalitly in the amount of normal Type I collagen What is the Pathophysiology? -decreased collagen secretion. [quizlet.com]
Pathophysiology In OI, pathologic changes are seen in all tissues of which type 1 collagen is an important constituent (eg, bone, ligament, dentin, and sclera). The basic defect is one of a qualitative or quantitative reduction in type 1 collagen. [emedicine.medscape.com]
However, in the past 10 years discoveries of further (mainly recessive) causative genes have lent support to a predominantly collagen-related pathophysiology [ 1 ]. [patient.info]
Some authors ( 7 ) have suggested a possible association between defective collagen maturation and the pathophysiology of ulnar artery aneurysms in OI. [ajnr.org]
Prevention
Surgery may be performed to correct and prevent deformities in children with OI severe enough to prevent walking. Correction of scoliosis may also be helpful, but difficult due to bone fragility. [myvmc.com]
People with OI are encouraged to exercise as much as possible to promote muscle and bone strength, which can help prevent fractures. [checkorphan.org]
Treatments for preventing or correcting symptoms may include: Bisphosphonate medicines. These are medicines that help to strengthen bones and prevent fractures. They may be used in most types of OI. [hopkinsmedicine.org]
Once the bones are healed, the patient should undergo low impact exercises to increase mobility and prevent the possibility of future fracture. [healthool.com]
Significant care issues that arise with OI Type I include gross motor developmental delays, joint and ligament weakness and instability, muscle weakness, the need to prevent fracture cycles, and the necessity of spine protection. [oif.org]