Presentation
Patients usually present bony swelling of the wrists with or without pain (knees and ankles may also be affected). [malacards.org]
Of special value is the thorax and various conditions that exhibit that sign. presentation of variability of the condition with age. [books.google.de]
Practical tables provide a quick reference to essential information, including normal developmental anatomic milestones, developmental anomalies, common presentations and symptoms of diseases, and much more. 400 new and replacement images are added to [books.google.com]
Patients usually present bony swelling of the wrists with or without pain (knees and ankles may also be affected). Other variably associated features include platyspondyly, skeletal development delay, short stature and coxa valga. [rarediseases.info.nih.gov]
Some patients present deformities of larynx and upper airways (laryngo and tracheomalacia). They can develop severe respiratory insufficiency. [gait.aidi.udel.edu]
Entire Body System
-
Developmental Delay
One case of fatal encephalitis. [109] Some cases with spasticity, cognitive delay or deficits, and/or developmental delay, and cerebral calcifications (late-onset). [109] [110] Auditory: Normal hearing. Recurrent or frequent otitis media. [autoinflammatory-search.org]
Intellectual disability-feeding difficulties-developmental delay-microcephaly syndrome Intellectual disability-hyperkinetic movement-truncal ataxia syndrome Intellectual disability-hypoplastic corpus callosum-preauricular tag syndrome Intellectual disability-hypotonia-spasticity-sleep [se-atlas.de]
In addition, they also have progressive acanthosis nigricans, CNS abnormalities, epilepsy and severe developmental delay [ 21 ]. [intechopen.com]
The clinical features include global developmental delay, facial dysmorphism, narrow chest, prominent abdomen, and short stature due to limbs shorting. [mjdrdypu.org]
– At the onset of disease, global developmental delay is usually very subtle. – Once the delay becomes obviously, neurodeterioration begins and becomes progressive. – The clinical picture is of chronic encephalopathy, which is characterized by both [clinicaladvisor.com]
-
Physician
In-Depth Information The Monarch Initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. [rarediseases.info.nih.gov]
There are many physicians who do not have a desk computer or do not History feel at ease in using one. [books.google.de]
Many 18th and 19th-century physicians were skeptical about the existence of the disease, given the similar appearance of pancreatitis. [en.wikipedia.org]
This is often best accomplished by centers that have a multidisciplinary approach, which includes adult and pediatric physicians, as well as a group of orthopedists, rheumatologists, otolaryngologists, neurologists, neurosurgeons, ophthalmologists, and [nature.com]
-
Collapse
The SLAC wrist: scapholunate advanced collapse pattern of degenerative Arthritis. J Hand Surg [Am] 1984: 9-A:358-65. الصفحة 308 - Arnett FC, Edworthy SM, Bloch DA. McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS. [books.google.com]
These infants may exhibit apnea or vasomotor collapse similar to spinal shock. Imaging survey in suspected abuse Radiographic skeletal survey is necessary in all children less than 2 years old suspected of abuse. [radiologyassistant.nl]
Osteoporosis leads to collapse of vertebral end plates, contributing to worsening kyphoscoliosis. Pectus excavatum or pectus carinatum adds to thoracic deformity. [nature.com]
-
Weight Loss
Specialty Oncology Symptoms Yellow skin, abdominal or back pain, unexplained weight loss, light-colored stools, dark urine, loss of appetite [1] Usual onset After 40 years old [2] Risk factors Tobacco smoking, obesity, diabetes, certain rare genetic conditions [en.wikipedia.org]
Adverse events associated with SRT (miglustat) include gastrointestinal problems (diarrhea, stomach pain or bloating and weight loss) and muscle cramps, especially in lower extremities associated with tremors, unsteady gait, and dizziness. [clinicaladvisor.com]
Gastrointestinal
-
Loss of Appetite
Tumors in the head of the pancreas typically also cause jaundice, pain, loss of appetite, dark urine, and light-colored stools. [en.wikipedia.org]
Jaw & Teeth
-
Microdontia
[…] long bone of hand 0001163 Short stature Decreased body height Small stature [ more ] 0004322 5%-29% of people have these symptoms Abnormality of the voice Voice abnormality 0001608 Depressed nasal ridge Flat nose Recessed nasal ridge [ more ] 0000457 Microdontia [rarediseases.info.nih.gov]
Craniofacial phenotype is represented by stellate iris, periorbital oedema, flattening of nasal pyramid, short nose with anteverted nostrils, long philtrum, macrostomy, thick lips, microdontia, multiple diastema, dental malocclusion and micrognathia. [intechopen.com]
Musculoskeletal
-
Platyspondyly
Other variably associated features include platyspondyly, skeletal development delay, short stature and coxa valga.Visit the Orphanet disease page for more resources. [malacards.org]
Other variably associated features include platyspondyly, skeletal development delay, short stature and coxa valga. Last updated: 9/7/2017 This table lists symptoms that people with this disease may have. [rarediseases.info.nih.gov]
Spine and Pelvis Platyspondyly 9. [slideshare.net]
Spinal defects: platyspondyly, irregularities in the vertebral endplates. [109] Cartilage is affected (ears and nose too). [108] Some with concurrent Juvenile Rheumatoid Arthritis (JRA). [autoinflammatory-search.org]
Radiographic findings are widening, scalloping, and irregularity of the metaphysis of long tubular bones, shortness of the femoral neck, progressive coxa vara, severe and diffuse platyspondyly of vertebral bodies, delay in ossification of carpal bones [mjdrdypu.org]
-
Coxa Valga
Name Ulna Metaphyseal Dysplasia Syndrome Synonyms METAPHYSEAL CHONDRODYSPLASIA, ROSENBERG TYPE Classification bone, developmental, genetic Phenotypes Abnormality of the vertebral column ; Autosomal dominant inheritance ; Coxa valga ; Delayed skeletal [mousephenotype.org]
Other variably associated features include platyspondyly, skeletal development delay, short stature and coxa valga. Last updated: 9/7/2017 This table lists symptoms that people with this disease may have. [rarediseases.info.nih.gov]
The legs bow outwards with variable deformity of the hips (both coxa vara and coxa valga are seen 1 ). The lower ribs may also be drawn inwards inferiorly by the attachment of the diaphragm ( Harrison's sulcus ). [radiopaedia.org]
Delayed femoral head appearing, coxa valga or, on the contrary, coxa vara are common findings. Valgus deformity of the knees, associated to flexion contracture, is another common finding. [gait.aidi.udel.edu]
The acetabulae and proximal ends of the femora were horizontal and coxa valga was present. 3. The twelfth thoracic vertebral body was hypoplastic and posteriorly displaced. The other vertebral bodies were oval and large calcaneal spurs were present. [czytelniamedyczna.pl]
-
Wrist Pain
Dysplasia Syndrome Synonyms METAPHYSEAL CHONDRODYSPLASIA, ROSENBERG TYPE Classification bone, developmental, genetic Phenotypes Abnormality of the vertebral column ; Autosomal dominant inheritance ; Coxa valga ; Delayed skeletal maturation ; Hypercalcemia ; Wrist [mousephenotype.org]
Symptoms - Ulna metaphyseal dysplasia syndrome Wrist pain Thickened wrists Irregular metaphyses Thickened dorsum sellae Wedged vertebrae Causes - Ulna metaphyseal dysplasia syndrome Not supplied. [checkorphan.org]
pain 0030836 Showing of 18 Last updated: 5/1/2019 If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. [rarediseases.info.nih.gov]
-
Bony Swelling
Patients usually present bony swelling of the wrists with or without pain (knees and ankles may also be affected). [malacards.org]
Patients usually present bony swelling of the wrists with or without pain (knees and ankles may also be affected). Other variably associated features include platyspondyly, skeletal development delay, short stature and coxa valga. [rarediseases.info.nih.gov]
-
Ankle Pain
This may cause knee or ankle pain and may require osteotomies. [nature.com]
Neurologic
-
Tremor
Adverse events associated with SRT (miglustat) include gastrointestinal problems (diarrhea, stomach pain or bloating and weight loss) and muscle cramps, especially in lower extremities associated with tremors, unsteady gait, and dizziness. [clinicaladvisor.com]
Urogenital
-
Nephrolithiasis
Decreased body height Small stature [ more ] 0004322 5%-29% of people have these symptoms Abnormality of the voice Voice abnormality 0001608 Depressed nasal ridge Flat nose Recessed nasal ridge [ more ] 0000457 Microdontia Decreased width of tooth 0000691 Nephrolithiasis [rarediseases.info.nih.gov]
[…] microduplication syndrome Distal arthrogryposis Distal arthrogryposis type 10 Distal arthrogryposis type 5D Distal monosomy 3p Distal monosomy 6p Distal symphalangism Distal tetrasomy 15q Distal trisomy 15q Dobrow syndrome Dominant hypophosphatemia with nephrolithiasis [se-atlas.de]
Workup
On chest X-ray obtained as part of apnea, workup showed metaphyseal widening and dysplasia. Baby was re-evaluated, and there was no obvious dysmorphism. [mjdrdypu.org]
Probably needs a metabolic workup to r/o rickets. Also get x rays of the remaining joints of upper extremity. Regards, Sanjeev Sabharwal Pediatric Orthopedics E-mail: [email protected] FROM: K I. [orthopaedicsone.com]
X-Ray
-
Delayed Bone Age
Radiographic at the age of 3 1/2 months revealed distinctive skeletal changes, notably delayed bone age and metaphyses of the tubular bones which were cupped, with pointed edges. [czytelniamedyczna.pl]
The patients often present a delayed bone age and low levels of IGF1. [intechopen.com]
-
Nephrolithiasis
Decreased body height Small stature [ more ] 0004322 5%-29% of people have these symptoms Abnormality of the voice Voice abnormality 0001608 Depressed nasal ridge Flat nose Recessed nasal ridge [ more ] 0000457 Microdontia Decreased width of tooth 0000691 Nephrolithiasis [rarediseases.info.nih.gov]
[…] microduplication syndrome Distal arthrogryposis Distal arthrogryposis type 10 Distal arthrogryposis type 5D Distal monosomy 3p Distal monosomy 6p Distal symphalangism Distal tetrasomy 15q Distal trisomy 15q Dobrow syndrome Dominant hypophosphatemia with nephrolithiasis [se-atlas.de]
Treatment
Treatment - Ulna metaphyseal dysplasia syndrome Not supplied. Resources - Ulna metaphyseal dysplasia syndrome Not supplied. [checkorphan.org]
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]
Food and Drug Administration has chosen Wave Life Sciences’ planned phase 2/3 study of suvodirsen, its lead experimental therapy for the treatment of Duchenne muscular dystrophy, to break new ground. [globalgenes.org]
If you are able to confirm that the patient has a lysosomal storage disease, what treatment should be initiated? The treatment of LSDs can be divided in supportive and specific treatment categories. [clinicaladvisor.com]
Prognosis
Prognosis - Ulna metaphyseal dysplasia syndrome Not supplied. Treatment - Ulna metaphyseal dysplasia syndrome Not supplied. Resources - Ulna metaphyseal dysplasia syndrome Not supplied. [checkorphan.org]
Gloomy prognosis [ Back to the Top ] Metaphyseal Dysplasias (hyperdysplasias) 1. [flinders.edu.au]
Prognosis Prognosis depends on the precise nature of the specific osteochondrodysplasia. Among infants with skeletal dysplasias detected at birth, approximately 13% are stillborn and 44% die during the perinatal period. [patient.info]
Treatment and prognosis Treatment requires correction of the metabolic imbalance. Only rarely is orthopedic surgical intervention necessary to correct skeletal deformities. [radiopaedia.org]
PMID 9584003 Hirschsprung's disease in cartilage-hair hypoplasia has poor prognosis. Mäkitie O, Heikkinen M, Kaitila I, Rintala R Journal of pediatric surgery. 2002 ; 37 (11) : 1585-1588. PMID 12407544 DWARFISM IN THE AMISH. II. [atlasgeneticsoncology.org]
Etiology
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
[…] non-vitamin D supplemented formula fed infants vegetarian diets maternal vitamin D deficiency lack of sun exposure dark skin in sun-poor countries lack of outdoor time clothing that eliminates sun exposure The onset and presentation of rickets depend on the etiology [radiopaedia.org]
Negative investigations for infection etiology, unbalanced chromosomal abnormalities and congenital major malformations (heart, kidneys and vascular system). [clinicaladvisor.com]
Each chapter includes a description of the specific abnormality - including occasional associated abnormalities - natural history, etiology, and references. [geneeskundeboek.nl]
Abundant periosteal bone formation in a case of Caffey's disease Caffey's disease This is a rare disease of unknown etiology. These children have extreme periosteal reactions. [radiologyassistant.nl]
Epidemiology
[…] dystrophy Synonym(s): (no synonyms) Classification (Orphanet): - Rare bone disease - Rare developmental defect during embryogenesis - Rare genetic disease Classification (ICD10): - Congenital malformations, deformations and chromosomal abnormalities - Epidemiological [csbg.cnb.csic.es]
Epidemiology Incidence is in the region of 1/4,000 births. [ 1 ] Lethal skeletal dysplasias are estimated to occur in 0.95 per 10,000 deliveries. [patient.info]
Introduction Epidemiology incidence common - forearm fractures in total account for approximately 40% of all pediatric long bone fractures distal radius (and ulna) is the most common site of pediatric forearm fractures. male female (male 2-3 times more [orthobullets.com]
(Another epidemiology study in an European country confirms the prevalence observed in other countries.) Mechtler, TP, Stary, S, Metz, TF, De Jesús, VR, Greber-Platzer, S, Pollak, A. [clinicaladvisor.com]
"Epidemiology of pancreatic cancer". Epidemiology of Chronic Disease. Jones & Bartlett. pp. 181–190. ISBN 978-0-7637-8047-0. Archived from the original on 24 June 2016. a b c d e f g Öberg K, Knigge U, Kwekkeboom D, Perren A (October 2012). [en.wikipedia.org]
Pathophysiology
The pathophysiology of Pyle metaphyseal dysplasia is a defect in metaphyseal remodeling which leads to metaphyseal widening of the long tubular bones with associated cortical thinning and osteoporosis. [mjdrdypu.org]
male female (male 2-3 times more common than female) demographics most common during metaphyseal growth spurt peak incidence occurring from: 10-12 years of age in girls 12-14 years of age in boys most common fracture in children under 16 years old Pathophysiology [orthobullets.com]
Physiology and pathophysiology of the growth plate. Birth Defects Res C Embryo Today 2003; 69 : 123–143. 5. Ballock RT, O'Keefe RJ. The biology of the growth plate. J Bone Joint Surg Am 2003; 85 : 715–726. 6. [nature.com]
"Nanomedicine strategies to overcome the pathophysiological barriers of pancreatic cancer". Nature Reviews Clinical Oncology. 13 (12): 750–765. doi : 10.1038/nrclinonc.2016.119. ISSN 1759-4774. PMID 27531700. [en.wikipedia.org]
Prevention
Prevention - Ulna metaphyseal dysplasia syndrome Not supplied. Diagnosis - Ulna metaphyseal dysplasia syndrome The signs and symptom information on this page attempts to provide a list of some possible signs and symptoms of Rosenberg-Lohr syndrome. [checkorphan.org]
Archived from the original (PDF) on 12 January 2015. a b "Can pancreatic cancer be prevented?". American Cancer Society. 11 June 2014. Archived from the original on 13 November 2014. [en.wikipedia.org]
Prevention and treatment of contractures, dislocations as well as spinal and foot deformities should be the goal of the orthopedist. CASE HISTORY: O.A. female. DOB 2-6-91. Product of a normal gestation. Two healthy half-sisters. [gait.aidi.udel.edu]
Medical care for individuals with skeletal dysplasia should be directed at preventing neurologic and orthopedic complications due to spinal cord compression, joint instability, and long bone deformity. [emedicine.medscape.com]
Genetics, Genetic Counseling, and Prevention 5. Minor Anomalies as Clues to More Serious Problems and Toward the Recognition of Malformation Syndromes 6. [geneeskundeboek.nl]