Presentation
Patients with OI type IIA present with broad ribs with multiple fractures, continuous beaded ribs and severe undermodeling of the femur, OI type IIB presents with normal or thin ribs with some fractures, discontinuous beaded ribs and some undermodeling [orpha.net]
Presents at preschool age (tarda). Hearing deficit in 50%. [orthobullets.com]
PRESENTATION OF OSTEOGENESIS IMPERFECTA The presentation of disease varies widely across patient populations. It often varies in severity as you move from type I (mild) to type IV (severe). [gwumc.edu]
Treatment Treatment Options: Fractures require stabilization and hydrocephalus, if present, needs to be treated promptly. [disorders.eyes.arizona.edu]
This poor quality type I collagen is present in reduced amounts in the bone matrix. [oif.org]
Entire Body System
- Soft Tissue Swelling
There was a soft tissue swelling in the right arm. Investigations showed Hb concentration 11 gm/dl, Total leukocyte count: 6400 cells/cmm, Differential count P60%, L 40%, ESR 11 mm/hr, Blood Urea Nitrogen 16 mg%, S. [jpgmonline.com]
Ears
- Low Set Ears
On examination, the child had microcephaly, flat occiput and dysmorphic facies (microphthalmia, low set ears and micrognathia). Vision and hearing were impaired on clinical testing. [jpgmonline.com]
Workup
Thorough preoperative workup including patient coagulation profile, cardiorespiratory workup including electrocardiography, echocardiography, pulmonary function tests are mandatory. [apicareonline.com]
Osteogenesis Imperfecta: Differential Diagnosis & Workup. http://emedicine.medscape.com/article/1256726-diagnosis. Website updated: 2008. Website accessed: April 5, 2010. ↑ Gahagan S, Rimsza ME. [physio-pedia.com]
Establishing a diagnosis As with any disorder, a detailed history is a crucial element of the diagnostic workup. [nature.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]
The response to BP treatment is frequently reported as 1 or 2 years post-treatment. Fracture rate over several years during and after treatment is not reported. [link.springer.com]
[…] bone density and decreasing fractures X-rays, as required for diagnosis and treatment Osteogenesis Imperfecta patients can also take advantage of the following complementary treatment services offered at Kennedy Krieger: Audiology : Evaluates patients [kennedykrieger.org]
Medical Treatments and Research Information Source/Author: Osteogenesis Imperfecta Foundation (OIF) Support Group Information on medical treatments, clinics for OI and research on potential treatments for OI. [lpamrs.memberclicks.net]
Beside drug treatment and surgical procedures physiotherapy is the most important treatment approaches to increase mobility. [bone-abstracts.org]
Prognosis
Prognosis - Osteogenesis imperfecta- type 5 The prognosis for an individual with OI varies greatly depending on the number and severity of symptoms. [checkorphan.org]
Prognosis: The prognosis often depends on the type of OI and thus the severity of the disease. Type I patients often have a normal life expectancy. [gwumc.edu]
Prognosis is very variable depending on type ranging from being uniformly lethal from type II to a slight reduction in life expectancy for type I. [radiopaedia.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]
Etiology
Etiology The causal gene for OI type V is not known Differential diagnosis A clinically similar but histologically different type of OI type V (sometimes described as OI type VI) has been described and is thought to be autosomal recessive but the causal [orpha.net]
Such a situation is easily understandable when it is considered that in many instances of abnormality of the bones there is no known etiology, and in some cases there is failure to represent even a recognized syndrome. [pubs.rsna.org]
The sequence of diverse pathological events recorded within each family would be almost incomprehensible without a proper etiological understanding of the natural history of each child/family deformity that led to their occurrences. [journals.lww.com]
Epidemiology
ORPHA:216828 Synonym(s): OI type 5 Prevalence: Inheritance: Autosomal dominant or Autosomal recessive Age of onset: Infancy, Neonatal ICD-10: Q78.0 OMIM: 610967 UMLS: C1970414 C2931093 MeSH: C536046 GARD: 8699 MedDRA: - Summary Epidemiology To date 47 [orpha.net]
Epidemiology • In OI, defective collagen means that the bones are extremely fragile and can fracture as a result of everyday movements. • Simple movements such as opening a door or turning over in one’s sleep can cause these fractures. 5. [de.slideshare.net]
Osteogenesis imperfecta: Epidemiology and pathophysiology. Current Osteoporosis Reports, 5 (3), 91–97. [unmc.edu]
Osteogenesis imperfecta: epidemiology and pathophysiology. Curr. Osteoporos Rep. 5: 91-7, 2007. [wohproject.org]
Pathophysiology
Osteogenesis imperfecta: Epidemiology and pathophysiology. Current Osteoporosis Reports, 5 (3), 91–97. [unmc.edu]
Osteogenesis imperfecta: epidemiology and pathophysiology. Curr. Osteoporos Rep. 5: 91-7, 2007. [wohproject.org]
Osteogenesis imperfecta: epidemiology and pathophysiology. Curr Osteoporos Rep. 2009;5(3):91–7. doi: 10.1007/s11914-007-0023-z. View Article Google Scholar Byers PH, Steiner RD. Osteogenesis imperfecta. [humgenomics.biomedcentral.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]
Pathophysiology of disease: an introduction to clinical medicine. 7th ed. USA: McGraw-Hill; 2014. 9. Robichon J, Germain JP. Pathogenesis of osteogenesis imperfecta. Can Med Assoc J 1968;99:975-9. 10. Avioli LV, Krane SM. [pediatricneurosciences.com]
Prevention
People with OI are encouraged to exercise as much as possible to promote muscle and bone strength, which can help prevent fractures. [checkorphan.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]
Osteoporosis can often be prevented. However, if undetected, it can worsen over many years without symptoms. [onlymyhealth.com]
Brennan, who suffers from osteogenesis imperfecta (brittle bone disease), spent several years writing about his attraction to eugenics, on the theory that it could have prevented his suffering by preventing his birth. [getreligion.org]