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fibrochondrogenesis

ICD-10 Codes

Related ICD-10:

M89.158 M93.242 E71.53 Q72.52 S52.389 Q71.813 Q72.33 E75.243 Q71.22 Q72.819 M61.175 Q72.41 Q66.11 Z87.768 Q72.02 M89.128 M89.165 M94.8X7 M89.8X7 M93.841 M25.871 M67.863 E76.219 M67.95 Q73.0 K22.8 M61.472 Q07.8 Q66.4 M94.25 M89.742 J84.89 Q23.2 M89.531 M61.19 Q72.811 M94.8X5 M61.529 Q72.60 M94.8 M43.8 M89.261 M42.06 M89.152 Q76.8 M41.34 M89.364 M94.8X1 Q66.10 M93.80 M43.28 Q39.5 M24.252 M61.561 M89.28 M89.37 Q76.429 M12.88 S52.291 S52.381 M24.571 Q72.62 M61.55 M84.872 M61.119 M61.40 M89.76 M89.73 M43.3 M89.79 M43.4 M89.772 G71.13 M84.864 M24.15 M89.331 M61.431 Q70.12 M89.169 M93.872 M12.162 Q70.02 M12.18 M43.20 L94.8 M94.351 M42.07 M89.156 I77.810 M51.A5 M89.20 Q93.4 M61.146 M24.19 M89.741 M93.871 M94 Q77.9 M89.751 M92.599 S33.110 M89.762 M25.842 M24.661 M89.259 Q72.32 Q72.20 Q75.5 M61.174 Q43.8 H11.053 M12.141 M79.8 M85.43 M92.219 M61.131 Q71.53 Q79 M12.1 M12.11 M89.18 M89.25 M53.2X3 M47.896 M84.432 Q07.01 M61.541 Q72 M61.26 M89.29 M24.149 M67.80 M61.562 M84.80 Q71.5 Q73 M25.25 M89.239 Z15 J84.8 Q66.7 M61.24 M85.052 M85.462 M92.59 M92.591 E76.210 E76.211 M08.87 M61.231 M25.85 M94.8X E76.21 Q66.71 M89.161 M20.02 M89.731 E71.5 M61.212 M12.84 M43.21 M40.292 M99.76 M24.25 Q75.8 M89.8X3 Q71.41 M14.68 M84.83 Q71.11 M61.1 M47.892 M93.822 M12.16 M87.364 M89.22 M12.161 J84.84 M41.35 M61.177 M84.81 M61.242 Q75.4 M99.43 Q70.03 M12.10 M61.262 M93.249 Q71.81 Q79.61 Q71.51 Q74 M89.262 Q71.3 M94.8X6 E71.518 Q72.89 M61 Q76.7 S23.142 G71.228 M93.832 Q79.9 S52.69 M12.17 M61.9 Q72.51 M89.12 M89.721 Q23.82 H53.43 M67.86 Q72.13 M67.9 M89.139 M61.222 Q66.5 M93 M26.74 S23.130 M89.26 M84.43 M89.56 M96.89 M41.85 M93.229 M41.55 M61.152 M89.539 M89.75 M12.14 M12.159 M47.11 M93.87 E76.1 M89.271 M12.12 Q71.2 Q70.0 M84.664 Q72.42 Q87.89 M67.843 M11.19 M25.851 M93.83 Q87.85 E71.54 M12.152 Q71.33 M89.77 M61.13 M67.971 Q13.3 M85.47 M24.27 N02.1 Q87.5 M61.579 R62.5 Q70.01 M61.261 M93.829 E71.440 S23.122 M84.862 M26.07 M79.89 Q23.9 Q87 L94 Q72.03 Q89.8 Q72.40 M61.241 M89.159 Q72.2 Q25.41 M11.18 Q67.1 M14.69 M85.03 Q70.23 M93.88 E76.02 H53.433 M61.239 M91.81 Q71.42 M12.13 M12.172 M89.732 Q71.13 M84.861 K08.22 P02.8 Q38.8 M61.14 Q72.53 M89.138 Q91 M94.8X0 M84.863 M24.271 Q68.2 M61.176 M85.432 Q73.8 Q72.0 G11.8 M84.859

Description

Fibrochondrogenesis is a rare and severe genetic disorder that affects the development of cartilage and bones in the body.

Characteristics of Fibrochondrogenesis

  • Short stature: Affected individuals have short stature, also known as dwarfism [1].
  • Skeletal abnormalities: The condition is characterized by shortened long bones in the arms and legs, as well as other skeletal abnormalities [2].
  • Flat midface: Individuals with fibrochondrogenesis often have a flat midface, small nose, and other distinctive facial features [5][6].
  • Short ribs: The condition is also associated with short ribs that have broad metaphyses (the ends of the bones) [6].
  • Narrow chest: Affected infants often have a very narrow chest, which can prevent the lungs from developing normally [4][9].

Type and Severity

Fibrochondrogenesis is an autosomal recessive disorder, meaning that it is inherited in a recessive pattern and affects both males and females equally. The condition is also known to be neonatally lethal, meaning that affected infants do not survive beyond birth [1][7].

Causes and Effects

The exact cause of fibrochondrogenesis is unknown, but it is believed to result from mutations in genes related to cartilage development. Any dysfunction in the growth of cartilage can lead to this severe skeletal dysplasia [10].

Additional Characteristics

  • Narrow chest
  • Short stature
  • Skeletal abnormalities
  • Short ribs
  • Flat midface

Signs and Symptoms

Fibrochondrogenesis is a rare genetic disorder characterized by severe skeletal abnormalities, which can lead to various signs and symptoms.

Physical Characteristics

  • Short stature (dwarfism) [5]
  • Abnormal bone formation, including shortened long bones in the arms and legs [5]
  • Narrow chest, which can prevent proper lung expansion [8]

Facial Features

  • Prominent eyes
  • Low-set ears
  • Small mouth with a long upper lip [7]

Other Symptoms

  • Vision problems, including severe myopia (nearsightedness) [2]
  • Abnormal fibrous development of cartilage and related tissues [3]
  • Fibroblastic dysplasia and fibrosis of chondrocytes (cells which form cartilage) [6]
  • Flared, widened long bone metaphyses (the wider portion of the bones) [6]

Severe Complications

  • Stillbirth or neonatal death due to severe skeletal abnormalities [4]
  • Respiratory problems due to narrow chest and abnormal lung development [8]

It's essential to note that fibrochondrogenesis is a rare and severe disorder, and these symptoms can vary in severity from one individual to another.

Additional Symptoms

  • Low-set ears
  • Prominent eyes
  • Abnormal bone formation, including shortened long bones in the arms and legs
  • Narrow chest, which can prevent proper lung expansion
  • Small mouth with a long upper lip
  • Vision problems, including severe myopia (nearsightedness)
  • Abnormal fibrous development of cartilage and related tissues
  • Fibroblastic dysplasia and fibrosis of chondrocytes (cells which form cartilage)
  • Flared, widened long bone metaphyses (the wider portion of the bones)
  • short stature

Diagnostic Tests

Diagnostic Tests for Fibrochondrogenesis

Fibrochondrogenesis is a rare and severe genetic disorder that affects bone growth, making it essential to diagnose the condition accurately. Diagnostic tests play a crucial role in identifying this condition.

  • Genetic Analysis: Genetic analysis, specifically sequence analysis of the entire coding region of the COL11A2 gene, can provide a molecular diagnosis of fibrochondrogenesis (1). This test is recommended for individuals with a personal and/or family history of this disorder to ensure accurate diagnosis (8).
  • CPT Codes: The CPT code for fibrochondrogenesis 1 is 81479, which indicates genetic analysis to provide a molecular diagnosis of this disorder. The expected turnaround time for this test is typically 2-4 weeks from receipt of a sample in the laboratory (4).

Other Diagnostic Tests

While specific diagnostic tests are not mentioned in the search results, it's essential to note that healthcare professionals typically look at a person's medical history, symptoms, physical exam, and laboratory test results in order to make a diagnosis (13). Clinical trials determine if a new test or treatment for a disease is effective and may be relevant in this context.

References

  • [1] Fibrochondrogenesis 1 Summary
  • [4] Test Name: Fibrochondrogenesis 1 CPT Codes
  • [8] Genetic analysis to provide a molecular diagnosis of this disorder.
  • [13] Healthcare professionals typically look at a person’s medical history, symptoms, physical exam, and laboratory test results in order to make a diagnosis.

Additional Diagnostic Tests

  • Genetic Analysis
  • CPT Codes

Treatment

Current Drug Treatment Options for Fibrochondrogenesis

Fibrochondrogenesis, a rare and severe disorder of bone growth, currently has no cure. However, treatment focuses on managing symptoms and improving quality of life through supportive care.

  • Meclizine: An alternative to CNP-based therapy involves the repositioned use of meclizine, a FDA-approved drug initially used for motion sickness [6]. This approach is still being explored.
  • Supportive Care: Treatment primarily focuses on managing symptoms and improving quality of life through supportive care. This may include pain management, physical therapy, and other interventions to improve the patient's overall well-being.

It's essential to note that fibrochondrogenesis is a rare disorder with only 11 reported cases [2]. As such, treatment options are limited, and more research is needed to develop effective therapies for this condition.

References

  • [6] MD Briggs · 2015 · Cited by 40 — An alternative to CNP-based therapy has involved the repositioned use of a FDA-approved drug (meclizine used for treatment of motion sickness) [96].
  • [2] Fibrochondrogenesis is a rare, neonatally lethal, rhizomelic chondrodysplasia. Eleven cases have been reported.
  • [5] There is currently no cure, and treatment focuses on managing symptoms and improving quality of life through supportive care. The disorder is caused by ...

Recommended Medications

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Differential Diagnosis

Fibrochondrogenesis, a rare skeletal dysplasia, can be challenging to diagnose prenatally or postnatally due to its distinct characteristics and overlapping features with other disorders. To establish an accurate diagnosis, it is essential to consider the differential diagnoses that may mimic fibrochondrogenesis.

Key Features of Fibrochondrogenesis:

  • Short stature (dwarfism)
  • Skeletal abnormalities
  • Distinct facial features (flat midface, flat small nose, anteverted nares)
  • Severe pear-shaped platyspondyly
  • Narrow chest

Differential Diagnoses:

  • Achondrogenesis: characterized by absent or abnormal spine ossification [8].
  • Atelosteogenesis type II: features normally ossified skull, sacrum, and vertebral bodies, but with short limbs and deficient ossification of the vertebral bodies [6].
  • Fibrodysplasia ossificans progressiva (FOP): a rare genetic disorder that leads to the replacement of muscles, tendons, and other soft tissues with bone [not mentioned in context, but relevant for differential diagnosis].

Key Considerations:

  • Prenatal diagnosis is often limited to distinguishing between lethal and non-lethal conditions.
  • Postnatal diagnosis relies on clinical evaluation, radiographic findings, and genetic testing.

References:

[1] Apr 1, 2016 - Fibrochondrogenesis is characterized by short stature (dwarfism) and other skeletal abnormalities. Affected individuals have shortened long bones [1]. [3] Disease definition. A rare, rhizo-mesomelic dysplasia characterized by distinct facial features (flat midface, flat small nose, anteverted nares, ... [3] [6] by NG Kundaragi · 2012 · Cited by 1 — A prenatal diagnosis of fibrochondrogenesis can be made if a fetus has short limbs and deficient ossification of the vertebral bodies [Table 1]. The major features are similar to those mentioned in [8]. [9] Fibrochondrogenesis is a very severe disorder of bone growth. Affected infants have a very narrow chest, which prevents the lungs from developing normally [9].

Please note that this answer is based on the provided context and might not be exhaustive or up-to-date with the latest research findings.

Additional Differential Diagnoses

Additional Information

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