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multiple epiphyseal dysplasia 2

Description

Multiple epiphyseal dysplasia (MED) is a disorder of cartilage and bone development primarily affecting the ends of the long bones in the arms and legs (epiphyses). This condition leads to premature deterioration of cartilage, resulting in early arthritis [1]. The disorder causes irregularities in the growth zones of the bones, leading to joint pain and stiffness [5].

The symptoms of MED include short stature, joint pain and stiffness, and delayed ossification at multiple epiphyses. Patients may also experience a form of dwarfism characterized by irregular, delayed ossification at multiple epiphyses [6]. The condition is rare and affects the growing ends of bones, leading to abnormal skeletal development [9].

MED is a group of disorders that primarily affect the ends of the long bones in the arms and legs. It causes joint pain early in life and is characterized by epiphyseal anomalies of long bones [7]. The disorder is associated with irregularities in the growth zones of the bones, leading to premature deterioration of cartilage and early arthritis.

In summary, multiple epiphyseal dysplasia is a rare genetic disorder that affects the growing ends of bones, leading to abnormal skeletal development, joint pain, and stiffness. It causes premature deterioration of cartilage, resulting in early arthritis, and is characterized by irregularities in the growth zones of the bones [1][5][6][7][9].

Additional Characteristics

  • joint pain
  • short stature
  • stiffness
  • dwarfism
  • delayed ossification
  • abnormal skeletal development
  • premature deterioration of cartilage
  • early arthritis

Signs and Symptoms

Multiple epiphyseal dysplasia (MED) is a rare genetic disorder that affects the growth plates of bones, leading to various signs and symptoms. Here are some common signs and symptoms associated with MED:

  • Short stature: Individuals with MED may have short stature, with an average height ranging from 57 to 67 inches (145-170 cm). [3][4]
  • Joint pain: Joint pain is a common symptom of MED, particularly in the hips and knees. This pain can be exacerbated by exercise or physical activity. [1][2][5]
  • Arthritis: Early-onset arthritis, especially in the large weight-bearing bones, is a common feature of MED. [5]
  • Waddling gait: Some individuals with MED may exhibit a waddling gait due to joint pain and stiffness. [6]
  • Mild short stature: While some forms of MED are mainly limited to the femoral epiphyses, others can cause moderate short stature. [6]

It's essential to note that the severity and progression of these symptoms can vary greatly among individuals with MED.

References:

[1] Context result 1: Nov 1, 2014 — Both the dominant and recessive types have relatively mild signs and symptoms, including joint pain that most commonly affects the hips and ...

[2] Context result 2: What Are the Signs & Symptoms of Multiple Epiphyseal Dysplasia? · short stature (height less than expected for age) · arthritis at a young age · joint pain after ...

[3] Context result 3: Patients with multiple epiphyseal dysplasia have minimal short stature, averaging 57 to 67 inches tall, and are usually diagnosed later in life after suffering ...

[4] Context result 2: What Are the Signs & Symptoms of Multiple Epiphyseal Dysplasia? · short stature (height less than expected for age) · arthritis at a young age · joint pain after ...

[5] Context result 5: Initial signs may include pain in the hips and knees after exercise. Progressive joint disease, particularly of the large weight-bearing bones, is common.

[6] Context result 6: Common reported clinical signs include waddling gait and pain at onset, and moderate short stature. Some forms are mainly limited to the femoral epiphyses, ...

Additional Symptoms

Diagnostic Tests

To diagnose Multiple Epiphyseal Dysplasia (MED), several diagnostic tests can be performed.

Imaging Studies

  • X-rays are often the first imaging study used to diagnose MED, as they can show differences in the epiphyses throughout the skeleton [2].
  • Radiographic findings, such as irregular or delayed ossification at multiple epiphyses, can support a diagnosis of MED [6].

Genetic Testing

  • Molecular genetic testing can detect mutations in the genes associated with MED, which can confirm the diagnosis [5][7].
  • Gene-targeted testing (multigene panel) and comprehensive genomic testing can also be used to diagnose MED [1].

Physical Examination

  • A physical examination by a doctor can help identify symptoms of MED, such as joint pain or stiffness [8].

It's worth noting that a definitive diagnosis of MED often requires a combination of clinical history, physical examination, detailed family history, and radiographic findings [5].

Additional Diagnostic Tests

  • Physical Examination
  • Imaging Studies
  • Genetic Testing

Treatment

Treatment Options for Multiple Epiphyseal Dysplasia (MED)

Multiple epiphyseal dysplasia (MED) is a rare genetic disorder that affects the growth and development of bones. While there is no cure for MED, various treatment options can help manage symptoms and improve quality of life.

  • Pain Management: Medications such as pain relievers, muscle relaxants, and anti-inflammatory drugs can help alleviate joint pain and discomfort.
  • Physical Therapy: Gentle exercises and physical therapy can help maintain joint mobility, reduce stiffness, and promote overall well-being.
  • Assistive Devices: Using assistive devices like canes, walkers, or orthotics can provide support and stability for individuals with MED.
  • Surgery: In some cases, surgery may be necessary to repair or replace damaged joints. However, this is typically considered a last resort.

Medications Used in MED Treatment

The medications used to treat MED vary depending on the individual's symptoms and needs. Some commonly used medications include:

  • Pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil)
  • Muscle relaxants like cyclobenzaprine (Flexeril)
  • Anti-inflammatory drugs like corticosteroids
  • Disease-modifying antirheumatic drugs (DMARDs) like methotrexate

References

  1. Arthritis treatment focuses on relieving symptoms and improving joint function. You may need to try several different treatments, or combinations of treatments, before you determine what works best for you. Medications. The medications used to treat arthritis vary depending on the type of arthritis. Commonly used arthritis medications include: [14]
  2. Learn the various meanings and uses of the word treatment, from medical care to social behavior. See examples, synonyms, related phrases, and word history of treatment. [15]

Recommended Medications

  • Pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil)
  • Muscle relaxants like cyclobenzaprine (Flexeril)
  • Anti-inflammatory drugs like corticosteroids
  • Disease-modifying antirheumatic drugs (DMARDs) like methotrexate

💊 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

Multiple Epiphyseal Dysplasia (MED) Differential Diagnosis

Multiple epiphyseal dysplasia (MED) is a clinically and genetically heterogeneous skeletal

Additional Information

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