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Title
Osteogenesis imperfecta
ImagePath
System
Collagen synthesis disorder
Overview
Heritable bone fragility due to abnormal type I collagen.
Pathophysiology
AD COL1A1/2 mutations → ↓quantity (type I) or quality (rare) of collagen.
Presentation
Multiple fractures with minimal trauma, blue sclerae, hearing loss, dentinogenesis imperfecta.
Diagnosis
Clinical; COL1A1/2 sequencing; DEXA shows low bone density.
Management
Bisphosphonates, physical therapy, surgical rodding, hearing aids.
Epidemiology
Incidence 1:20,000.
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