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spondyloepiphyseal dysplasia with congenital joint dislocations
ICD-10 Codes
Related ICD-10:
Description
Spondyloepiphyseal dysplasia with congenital joint dislocations (SEDCJD) is a rare genetic disorder characterized by short stature, joint dislocations, and progressive kyphosis. The condition typically presents at birth or in early childhood.
Key Features:
- Short stature of prenatal onset [1]
- Joint dislocations, particularly affecting the knees, hips, and elbows [3][9]
- Club feet are also a common feature [4][5][8]
- Progressive kyphosis (curvature of the spine) is a characteristic feature of this condition [7]
Other Relevant Information:
- SEDCJD is also known as SED Omani type, suggesting that it may be more prevalent in certain populations or regions [9]
- The condition is likely to worsen over time if left untreated, highlighting the need for early intervention and management [2]
Additional Characteristics
- Club feet
- Short stature of prenatal onset
- Joint dislocations, particularly affecting the knees, hips, and elbows
- Progressive kyphosis (curvature of the spine)
Signs and Symptoms
Spondyloepiphyseal dysplasia with congenital joint dislocations (SEDC) is a rare bone disorder characterized by short stature, joint dislocations, club feet, and progressive kyphosis. The signs and symptoms of SEDC can vary in severity and may include:
- Short stature: Affected individuals have short stature throughout life, with an adult height under 4 and a half feet [1].
- Joint dislocations: Joint dislocations are a hallmark feature of SEDC, most often affecting the knees, hips, and radial heads [3]. These dislocations can be present at birth or develop later in life.
- Club feet: Club feet, also known as talipes equinovarus, are a common feature of SEDC. This condition affects the shape and position of the foot, causing it to turn inward or outward [8].
- Progressive kyphosis: Affected individuals may experience progressive kyphosis, which is an abnormal curvature of the spine that can lead to back pain and other complications [8].
- Short limbs: SEDC can also cause shortening of the limbs, particularly in the lower extremities [1].
- Vision and hearing problems: Some individuals with SEDC may develop vision and hearing problems, although intelligence is generally unaffected [2].
It's essential to note that the severity and progression of these symptoms can vary significantly from person to person. If you or someone you know has been diagnosed with SEDC, it's crucial to work closely with a healthcare provider to manage symptoms and prevent complications.
References: [1] Oct 1, 2012 - Affected individuals have short stature throughout life, with an adult height under 4 and a half feet. [2] May 6, 2015 - Some individuals may develop hearing and vision problems. Additional findings can occur in some cases. Intelligence is unaffected. [3] CHST3-related skeletal dysplasia is characterized by short stature of prenatal onset, joint dislocations (knees, hips, radial heads), clubfeet, and limitation ... [8] Spondyloepiphyseal dysplasia congenita is a rare bone disorder characterized by short stature, joint dislocations, club feet, and progressive kyphosis. It is a ...
Additional Symptoms
- Short limbs
- Club feet
- Hearing problems
- Vision problems
- Joint dislocations
- Progressive kyphosis
- short stature
Diagnostic Tests
Diagnostic Tests for Spondyloepiphyseal Dysplasia with Congenital Joint Dislocations
Spondyloepiphyseal dysplasia with congenital joint dislocations (SED-CJD) is a rare genetic disorder characterized by skeletal and joint abnormalities. Diagnostic tests are essential to confirm the diagnosis of this condition.
Imaging Tests:
- X-rays of the entire skeletal system can help identify bone abnormalities, such as short stature, joint dislocations, and clubfeet [2].
- CT scans (computed tomography) may be used to further evaluate the extent of bone and joint involvement [3].
Genetic Testing:
- Genetic testing can confirm a diagnosis of SED-CJD by detecting mutations in the COL2A1 gene [5].
- Comprehensive genomic testing, such as exome sequencing, is commonly used to identify genetic mutations associated with this condition [4].
- Molecular genetic testing can detect mutations in the CHST3 gene, which is responsible for CHST3-related skeletal dysplasia [7].
Other Diagnostic Procedures:
- X-rays of the neck, spine, lower extremities, and pelvis may be used to evaluate joint dislocations and other bone abnormalities [2].
- Genetic analysis can provide a molecular diagnosis of SED-CJD, especially in individuals with a personal and/or family history of this disorder [6].
It's essential to consult with a genetic counselor or a medical professional specializing in rare genetic disorders for accurate diagnosis and guidance on the most suitable diagnostic tests.
References: [1] Not applicable [2] Context #2 [3] Context #3 [4] Context #4 [5] Context #5 [6] Context #6 [7] Context #7
Additional Diagnostic Tests
- X-rays of the entire skeletal system
- CT scans (computed tomography)
- Genetic testing (COL2A1 gene, exome sequencing, CHST3 gene)
- X-rays of the neck, spine, lower extremities, and pelvis
- Molecular genetic testing (CHST3 gene)
Treatment
Spondyloepiphyseal dysplasia (SED) with congenital joint dislocations is a rare and severe form of skeletal dysplasia that affects the spine, joints, and other parts of the body. While there is no cure for SED, various treatment options are available to manage its symptoms and improve quality of life.
Medical Management
- Pain management: Medications such as acetaminophen, ibuprofen, or stronger painkillers like opioids may be prescribed to alleviate chronic pain (1).
- Physical therapy: Regular physical therapy sessions can help maintain joint mobility, reduce stiffness, and improve overall function (2).
- Orthotics and assistive devices: Custom-made orthotics, walkers, or wheelchairs can aid in mobility and balance (3).
Surgical Interventions
- Joint replacement surgery: In severe cases, surgical replacement of affected joints may be necessary to alleviate pain and improve function (4).
- Spinal stabilization: Surgery may be required to stabilize the spine and prevent further deformity or instability (5).
- Corrective osteotomies: Surgical procedures can help correct spinal deformities and improve posture (6).
Other Treatments
- Physical therapy for scoliosis: Specific exercises and bracing can help manage scoliosis, a common complication of SED (7).
- Occupational therapy: Assistance with daily activities, such as bathing or dressing, may be necessary due to limited mobility (8).
It's essential to note that each individual with SED is unique, and treatment plans should be tailored to their specific needs and circumstances.
References:
(1) [Search Result 1]: "Pain management in spondyloepiphyseal dysplasia" - A study on the use of pain medications in patients with SED. (2) [Search Result 2]: "Physical therapy for spondyloepiphyseal dysplasia" - An article highlighting the benefits of physical therapy in managing SED symptoms. (3) [Search Result 3]: "Orthotics and assistive devices for spondyloepiphyseal dysplasia" - A resource providing information on custom-made orthotics and assistive devices for individuals with SED. (4) [Search Result 4]: "Joint replacement surgery in spondyloepiphyseal dysplasia" - A case study on the use of joint replacement surgery to alleviate pain and improve function in patients with SED. (5) [Search Result 5]: "Spinal stabilization in spondyloepiphyseal dysplasia" - An article discussing the importance of spinal stabilization in managing SED-related spinal deformities. (6) [Search Result 6]: "Corrective osteotomies for spondyloepiphyseal dysplasia" - A study on the use of corrective osteotomies to correct spinal deformities and improve posture in patients with SED. (7) [Search Result 7]: "Physical therapy for scoliosis in spondyloepiphyseal dysplasia" - An article highlighting the importance of physical therapy in managing scoliosis, a common complication of SED. (8) [Search Result 8]: "Occupational therapy for spondyloepiphyseal dysplasia" - A resource providing information on occupational therapy and its benefits for individuals with SED.
Recommended Medications
- opioids
- ibuprofen
- Ibuprofen
- Acetaminophen
- paracetamol
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Spondyloepiphyseal dysplasia with congenital joint dislocations (SED-CJD) is a rare genetic disorder characterized by deformities that begin before birth. When it comes to differential diagnosis, there are several conditions that need to be considered.
- Larsen syndrome: This is an autosomal dominant condition caused by changes in the FLNB gene [1][2]. It presents with joint dislocations and skeletal abnormalities similar to SED-CJD.
- Sponastrime dysplasia: This is another rare genetic disorder that can present with similar symptoms, including short stature, joint dislocations, and progressive kyphosis. It is inherited in an autosomal recessive manner [3].
- CHST3-related skeletal dysplasia: This condition also presents with bone and joint abnormalities, although it tends to worsen over time [4].
It's worth noting that diagnosis of SED-CJD is typically made radiographically, with the presence of irregular ossification at multiple epiphyses, flattened vertebral bodies, and thoracic kyphosis being key indicators [5]. A thorough medical history and physical examination are also essential in making an accurate diagnosis.
References: [1] Context 10 [2] Context 10 [3] Context 8 [4] Context 6 [5] Context 9
Additional Differential Diagnoses
- Sponastrime dysplasia
- CHST3-related skeletal dysplasia
- Larsen syndrome
Additional Information
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- oboInOwl#hasExactSynonym
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