ABSTRACT
La enfermedad de Camurati-Engelmann es una entidad poco común debida a mutaciones en el gen que codifica el TGF-(3. Se caracteriza por hiperostosis de huesos largos y cráneo, acompañada de dolor óseo intenso, ocasionalmente debilidad muscular, marcha de pato. El tratamiento se basa en el uso de glucocorticoides en dosis altas y en casos severos la descompresión quirúrgica está indicada. Desde nuestro conocimiento este es el primer caso reportado en Colombia
Camurati-Engelmann disease is a rare entity due to mutations in the gene encoding the TGF-(3. It is characterised by hyperostosis of long bones and skull, accompanied by severe bone pain, and occasionally muscular weakness and a waddling gait. The treatment is based on the use of high doses of glucocorticoids, and in severe cases surgical decompression is indicated. As far as we know, this is the first case reported in Colombia
Subject(s)
Humans , HyperostosisABSTRACT
Background: Ghosal Type Hematodiaphyseal Dysplasia is an autosomal recessive disorder characterized by refractory anemia and diaphyseal bone dysplasia. Case characteristics: A 3 y 9 mo-old male child presented with progressive anemia and bowing of thighs. Child was found to have a previously reported homozygous point mutation c.1238G>A, (p.Arg413Glu) in Exon 16 of TBXAS1 gene. Outcome: Low dose steroid therapy resulted in normalization of hemoglobin and prevented further progression of bony changes. Message: Refractory anemia in association with bony deformities should prompt pediatricians to investigate for inherited bony dysplasia.
ABSTRACT
Camurati-Engelmann disease (CED) is a very rare autosomal dominant genetic disorder that causes characteristic anomalies in the skeleton. It is a connective tissue disorder known for marked variability of its clinical presentation. The authors report CED in a 25-year-old male with atypical involvement of metacarpals (acrosclerosis) and features of neuromuscular disease along with the classical features of the disease.
ABSTRACT
A doença de Camurati-Engelmann é uma displasia diafisária progressiva, autossômica dominante, caracterizada por progressiva expansão cortical e esclerose, que afeta, na maioria das vezes, as diáfises dos ossos longos, associada à hiperostose craniana. As manifestações clínicas são dor óssea nos membros inferiores, fraqueza muscular e atrofia muscular. Os autores relatam um caso de doença de Camurati-Engelmann em paciente masculino, de um ano de idade com diagnóstico avaliado pela radiografia simples, tomografia computadorizada, cintilografiaóssea e exames laboratoriais durante oito anos de evolução da doença. Ressalta-se a importância do diagnóstico diferencial com outras doenças que cursam com hiperostose e o emprego de corticosteroide para controle do quadro álgico.
Camurati-Engelmann disease is a rare progressive diaphyseal dysplasia, autosomal dominant, characterized by progressive cortical expansion and sclerosis mainly affecting the diaphysis of the long bones associated with cranial hyperostosis. The clinical manifestations are lower limbs bone pain, muscle weakness and muscular atrophy. The authors report a case of Camurati-Engelmann disease in a 1-year-old male patient who was submitted to plain radiography, computed tomography, bone scintigraphy and laboratory exams for eight years. The authors emphasize theimportance of the differential diagnosis with other diseases that attend hyperostosis and the use of corticosteroids to control the pain.
ABSTRACT
A displasia diafisária progressiva ou doença de Camurati-Engelmann é uma doença rara, caracterizada por dor e fraqueza muscular dos membros afetados e espessamento progressivo da cortical diafisária dos ossos longos. Os autores descrevem o caso clínico de um doente com manifestações iniciais da doença na infância, mas cujo diagnóstico só foi estabelecido durante a idade adulta, depois de evoluída a doença e após surgirem as mesmas manifestações em um dos filhos. Salienta-se a dificuldade no diagnóstico e a relevância do diagnóstico diferencial com outras doenças que cursam com osteoesclerose e/ou hiperostose. Na literatura é rara a descrição da sua evolução ao longo dos anos.
Camurati-Engelmann Disease or progressive diaphyseal dysplasia is a rare disease, characterized by limb pain and muscular weakness, and cortical thickening of the diaphyses of long bones. The authors report a case of a male patient with manifestations since his childhood, whose diagnosis was established later on, when he was an adult, with the disease already progressed, and when the same manifestations began in one of his sons. The importance of the differential diagnosis regarding other diseases concurrent with osteosclerotic and/or hyperostotic changes is emphasized here. Description of its evolution along the years is rarely found in the literature.