Genetic Bone Disorders Flashcards

1
Q

What is the other name for osteogenesis imperfecta

A

brittle bone disease

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2
Q

What is brittle bone disease

A

a defect in maturation and organisation of type 1 collagen

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3
Q

What type of inheritance are most cases of osteogenesis imperfecta

A

autosomal dominant

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4
Q

What are the clinical features or autosomal dominant O I

A

fragility fractures in childhood
short stature
blue sclerae
Loss of hearing

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5
Q

What happens in the rarer autosomal recessive form of OI

A

usually fatal or results in spinal deformity

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6
Q

What is skeletal dysplasia

A

Medical term for short stature

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7
Q

What is the most common type or skeletal dysplasia

A

Achondroplasia

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8
Q

What is the clinical features of achondroplasia

A

Disproportionately short limbs with prominent forehead and widened nose
Lax joints
normal mental development

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9
Q

What are the bones like in osteogenesis imperfecta

A

thin (gracile)

thin cortices and osteopenic

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10
Q

What is marfan’s syndrome?

A

Autosomal dominant or sporadic mutation of the fibrillin gene resulting in tall stature with disproportionately long limbs and ligamentous laxity

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11
Q

What are the associated features of marfans

A
high arched palate
scoiliosis
pectus excavatum
eye problems eg retinal detachment
aortic aneurysn
cardiac valve incompetence
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12
Q

What is Ehlers Danlos syndrome?

A

Heterogeneous condition which is often autosomal dominat and results in elastin and collagen formation which Is abnormal

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13
Q

What are the clinical features of ehlers danlos

A
hypermobility
vascular fragility
easy bruising
joint instability
scoliosis
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14
Q

What is duchenne muscular dystrophy

A

A defect in dystrophin gene involved in calcium transport results in muscle weakness

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15
Q

What is the clinical sign seen in DMD

A

Gower’s sign

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16
Q

How is the diagnosis of DMD confirmes

A

raised serum creatinine phosphokinase

Abdnormal muscle biospy

17
Q

What is the typical life expectancy in DMD

A

early 20s

18
Q

Whnat is the name of the milder form of DMD

A

Beckers muscular dystrophy