spondyloepiphyseal dysplasia

脊椎骨 phy 发育不良
  • 文章类型: Case Reports
    未经证实:膜结合转录因子肽酶的变体,位点1(MBTPS1)基因,可导致临床上罕见的Kondo-fu型脊柱骨骨发育不良(OMIM#618392,SEDKF),Silver-Russell综合征,和CAOP(白内障,脱发,口腔粘膜疾病,和牛皮癣样)综合征。
    未经证实:一名被诊断患有SEDKF的6岁中国男性儿童接受了3年的生长激素治疗。遗传检查发现,染色体16q23-q24上的MBTPS1基因中有两个新的无义变体,具有复合杂合子c.1589(exon12)A>G和c.163(exon2)G>A。
    未经证实:染色体16q23-q24上的MBTPS1基因c.1589(exon12)A>G和c.163(exon2)G>A与SEDKF相关。生长激素治疗可以修复脊椎骨发育不良患者的生长迟缓,Kondo-Fu类型;然而,这类病例需要更多的证据来支持这一假设.
    UNASSIGNED: Variants in membrane-bound transcription factor peptidase, site 1 (MBTPS1) gene, can result in clinically rare spondyloepiphyseal dysplasia of Kondo-fu type (OMIM #618392, SEDKF), Silver-Russell syndrome, and CAOP (cataract, alopecia, oral mucosal disorder, and psoriasis-like) syndrome.
    UNASSIGNED: A 6-year-old Chinese male child diagnosed with SEDKF underwent 3 years of growth hormone therapy. A genetic examination revealed two new nonsense variants in the MBTPS1 gene on chromosome 16q23-q24 with compound heterozygotes c.1589(exon12)A > G and c.163(exon2)G > A.
    UNASSIGNED: The MBTPS1 gene c.1589(exon12)A > G and c.163(exon2)G > A on chromosome 16q23-q24 is associated with SEDKF. Growth hormone therapy can repair growth retardation in patients with spondyloepiphyseal dysplasia, Kondo-Fu type; however, more evidence of such patient cases is required to support this hypothesis.
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  • 文章类型: Case Reports
    目的:骨软骨粘液瘤(OMX)是罕见的先天性骨肿瘤,仅在卡尼复杂综合征(CNC)的背景下进行了描述。关于OMX作为一个单独的实体并与其他疾病相关的数据仍然有限,诊断和治疗都很困难。
    方法:一例17岁女性诊断为鞍区OMX,病例报告为脊柱骨发育不良(SED)。除了回顾有关OMX的现有文献外,我们还讨论了放射学和组织病理学解释。
    结果:经鼻窦内镜经蝶入路成功切除肿瘤。在影像学和病理学上建立了诊断。
    结论:OMX的诊断和治疗最好通过组织活检来实现。经过证实的骨软骨粘液瘤病例的长期复发和结果对于了解其自然肿瘤史和建立标准治疗至关重要。
    Osteochondromyxomas (OMX) are rare congenital bone tumors that have only been described in the context of Carney complex syndrome (CNC). Data on OMX as a separate entity and in association with other disorders remain limited, making both diagnosis and treatment difficult.
    A case report of a 17-year-old female diagnosed with sellar OMX is presented in the setting of spondyloepiphyseal dysplasia (SED). We discuss the radiographic and histopathological interpretations in addition to reviewing the current literature on OMX.
    A successful gross total resection of the tumor was achieved via an endonasal endoscopic transsphenoidal approach. A diagnosis was established radiographically and pathologically.
    The diagnosis and treatment of OMX are best achieved via tissue biopsy. Following confirmed osteochondromyxoma cases long term for recurrence and outcomes will be essential in understanding its natural tumor history and in establishing standard treatments.
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  • 文章类型: Case Reports
    脊柱骨发育不良伴进行性关节病(SEDT-PA)是一种罕见的遗传性功能障碍,具有常染色体隐性遗传。SEDT-PA也被称为儿童进行性假性类风湿关节病,因为它与多发性关节挛缩和关节炎有关。我们报告了一例SEDT-PA在双侧全髋关节置换术中进行治疗。
    一位22岁的女士出现严重的双侧髋关节炎。根据本文描述的临床和放射学特征,她被诊断患有SEDT-PA.她接受了双侧阶段全髋关节置换术。已经描述了执行该程序的术前计划和技术挑战。
    最初的遗传起源的功能障碍,如脊柱骨发育不良,通常被误诊为青少年慢性关节炎。这些患者患有致残的早发性髋关节炎,需要手术。由于股骨近端偏移较低,因此在这些患者中进行关节成形术具有挑战性,但是经过彻底的术前计划以解决术中困难,可以获得良好的结果。
    UNASSIGNED: Spondyloepiphyseal dysplasia tarda with progressive arthropathy (SEDT-PA) is a rare inherited dysfunction with autosomal recessive inheritance. SEDT-PA is also named as progressive pseudorheumatoid arthropathy of childhood as it is associated with multiple joint contractures and arthritis. We report a case of SEDT-PA managed with bilateral stage total hip arthroplasty.
    UNASSIGNED: A 22-year-old lady presented with severe bilateral hip arthritis. Based on her clinical and radiological features described in this article, she was diagnosed as having SEDT-PA. She was managed with bilateral stage total hip arthroplasty. The pre-operative planning and technical challenges of performing this procedure have been described.
    UNASSIGNED: Dysfunctions originally of genetic origin like spondyloepiphyseal dysplasia tarda mimics and is commonly misdiagnosed as juvenile chronic arthritis. These patients have disabling early-onset hip arthritis which requires surgery. Arthroplasty is challenging in these patients because of the low proximal femur offset but good results can be obtained after thorough pre-operative planning to tackle intraoperative difficulties.
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  • 文章类型: Case Reports
    UNASSIGNED: Spondyloepiphyseal dysplasia is the clinical term applied to a group of rare genetic disorders with primary involvement of the vertebrae and epiphyses, predisposing the afflicted individuals toward the premature development of osteoarthritis. There are few reports concerning joint replacement therapy in these patients, particularly describing the role of total hip arthroplasty. In this report, we describe the anatomical and technical aspects of spondyloepiphyseal dysplasia that must be considered during surgical planning and performance of total knee arthroplasty.
    UNASSIGNED: A 49-year old woman with a history of spondyloepiphyseal dysplasia suffered from severe osteoarthritis of the knee and irreducible congenital dislocation of the patella. After careful preoperative evaluations and planning, the knee joint deformity was solved by knee joint replacement with realignment of the extensor mechanism using quadricepsplasty. After 2 years of surgery, the patient showed no pain and was able to walk with the help of elbow crutches. The Hospital for Special Surgery knee score increased from preoperative 51 points to 85 points during the final follow-up. The postoperative range of motion increased to final flexion of 0-115°.
    UNASSIGNED: The advances made so far in the medical care for patients with skeletal dysplasia have improved their overall survival during adulthood. The case report described herein demonstrates the numerous challenges and technical aspects of a successful total knee arthroplasty in cases of spondyloepiphyseal dysplasia, highlighting the need to consider skeletal and soft tissue abnormalities of skeletal dysplasia during the planning and performance of joint replacement surgery.
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