nichols congen/devel bone dis Flashcards

achondroplasia

achondroplasia

OI

OI

osteopetrosis with diffusely sclerotic bones and misformed / bulbous ends of radius/ ulna

osteopetrosis w irreg traveculae and residual unremodeled cart in pink bone, recued marrow cavity

osteopetrosis

osteopetrosis pway

aneurysmal bone cyst

aneurysmal bone cyst

clotted blood next to well vasc tissue in aneurysmal bone cyst

fibrous cortical defect

fibrous cortical defect

fibrous dysplasia

fibrous dyslplasia w curvilinear traveculae of woven bone surrounded by fibroblastic, collagen prolif
chinese characters!

fibrous dysplasia

fibrous dysplasia w moth eaten appearance
medullary

giant cells in aneurysmal bone cyst

non ossifying fibroma
sclerotic border

non ossifying fibroma
storiform (woven mat) pattern

solitary bone cyst
thin wall
what do you need to dx bone lesion
site
age
sex
xray appearance
brachydactyly: gene, clinical
HOXD13
short, broad terminal phalagnes of thumb/big toe
campomelic dysplasi
SOX9, short bowing of long bones, small chest cavity
resp failure, sex reversal
cleidocranial dysplasia
RUNX2
hypoplastic clavicles, wormian skull bones, supernumerary teeth
Holt-Oram syndrome
TBX5
thumb, wrist, forearm bone hypoplasia
ASD
nail-patella syndrome
LMX1B
hypoplastic nails, hypoplastic patella
dislocated radial head, prog nephropathy
Waardenburg syndrome
PAX3
hearing los, partial albinism, diff colored eyes, patches of white hair, constipation
thanatophoric dysplasia
HFGFR3 receptor
severe limb shortening and bowing
small chest cavity –>resp failure
achondrogenesis II
COL2A1
short trunk
metaphyseal dysplasia (Schmid type)
COL 10A1
short stature
Muts in ___, ____, ___, and ___ genes cause congenital diseases of bone metab
OPG, RANK, RANKL, LRP5
____ and ____ are examples of the increasingly common phenomenon of bioactive mols discovered to have fns undeducible from their names!
osteopontin
osteocalcin
who is more prone to osteomyelitis? why?
children bc richer blood supply in growing bone
skeletal dysplasias are diseases of _____, and ARE or ARE NOT premalignant conditions
disease of disordered growth but NOT premalignant!
_________ is a group of dis primarily involving bone even though to relate to type I collagen which is in many organs
osteogenesis imperfecta
what is the first genetic disease successfully tx w stem cell transplant?
OSTEOPETROSIS. KNOW EVERYTHING ABOUT IT
McCune-Albright syndrome
vs
monostotic fibrous dysplasia
GNAS1 mut during embryogenesis = McCune Albright
GNAS1 mut in osteoblast precursor = monostotic fibrous dysplasia
chromosomal rearragement fusing USP6geen to promoters highly expressed in osteoBlasts produce excess WHAT? result?
XS USP6 protease
XS NF-kB TF
XS MMP
results in cystic reabs of bone in aneurysmal bone cyst