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osteogenesis imperfecta type 11

ICD-10 Codes

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Description

Osteogenesis imperfecta (OI) type 11, also known as brittle bone disease, is a rare genetic disorder that affects the connective tissue in the body. It is characterized by extremely fragile bones that break or fracture easily, often without any apparent cause.

Causes and Symptoms

The exact cause of OI type 11 is not well understood, but it is believed to be related to mutations in the CREB3L1 gene [11]. This condition can affect people of all ages, but it most commonly presents in children and adolescents.

Some common symptoms of OI type 11 include:

  • Recurrent fragility fractures
  • Unusually low bone mass
  • Bone deformities
  • Kyphoscoliosis (a curvature of the spine)
  • Short stature
  • Blue-gray sclera (the white part of

Additional Characteristics

  • short stature
  • bone deformities
  • brittle bone disease
  • fragile bones that break or fracture easily
  • recurring fragility fractures
  • unusually low bone mass
  • kyphoscoliosis (curvature of the spine)
  • blue-gray sclera

Signs and Symptoms

Osteogenesis imperfecta (OI) type II, also known as blue collar OI, is a rare genetic disorder that affects the production of collagen, leading to fragile bones and other complications.

Common signs and symptoms:

  • Blue sclerae: The whites of the eyes may appear blue due to the thinning of the sclera (the white part of the eye) [2].
  • Short stature: Individuals with OI type II may experience growth delays, leading to short stature [3].
  • Curvature of the spine (scoliosis): A curved spine can occur in individuals with OI type II, which can lead to breathing difficulties and other complications [4].
  • Joint deformities (contractures): Joint deformities can also be present in individuals with OI type II, leading to limited mobility and flexibility [5].

Other possible features:

  • Hearing loss is a common complication in individuals with OI type I and III, but it may also occur in those with OI type II [6].
  • Heart failure can be a concern for individuals with OI type II, particularly if they experience respiratory problems or pneumonias due to chest deformities [7].

It's essential to note that the symptoms of OI can vary greatly within and between types, making diagnosis and treatment challenging. If you suspect someone has osteogenesis imperfecta, it's crucial to consult a medical professional for proper evaluation and care.

References: [1] Not provided (search results do not contain relevant information) [2] Context #2 [3] Context #8 [4] Context #4 [5] Context #7 [6] Context #9 [7] Context #9

Additional Symptoms

  • Blue sclerae
  • Curvature of the spine (scoliosis)
  • Joint deformities (contractures)
  • short stature

Diagnostic Tests

Osteogenesis imperfecta (OI) type XI is a rare and severe form of the disorder, characterized by fragile bones, blue sclerae, and other systemic features.

Diagnostic tests for OI type XI:

  • DNA blood testing: This test can detect genetic mutations associated with OI type XI. The accuracy of this test ranges from 60-94% [5].
  • Chorionic villus sampling (CVS): If there is a family history of OI, CVS may be performed during pregnancy to diagnose the condition in the fetus [8].
  • Prenatal ultrasound: This imaging technique can help identify fetal abnormalities associated with OI type XI.
  • Postnatal radiographs: X-rays of the long bones, skull, chest, pelvis, and other areas can help confirm the diagnosis of OI type XI [7].

Other diagnostic tools:

  • Physical examination: A thorough physical exam by a healthcare provider can help identify signs and symptoms associated with OI type XI.
  • Medical history: Reviewing the patient's medical history, including family history, can provide valuable information for diagnosing OI type XI.

It is essential to note that a diagnosis of OI type XI should be made by a qualified healthcare professional, such as a geneticist or an endocrinologist. They will consider the results of these diagnostic tests, along with other clinical features and medical history, to confirm the diagnosis.

References: [1] Byers PH (2006) LABORATORY TESTING FOR OI​​ [1] [4] Clinical resource with information about Osteogenesis imperfecta type 11 and its clinical features, FKBP10, available genetic tests from US and labs around... [3] [5] Mar 18, 2024 — DNA blood testing for gene defects has an accuracy of 60-94%... [5] [7] Sep 25, 2020 — In cases of suspected osteogenesis imperfecta, postnatal radiographs should include views of the long bones, skull, chest, pelvis, and... [7] [8] Aug 5, 2023 — Family members may be given a DNA blood test. If there is a family history of OI, chorionic villus sampling may be done during pregnancy to... [8]

Additional Diagnostic Tests

  • Physical examination
  • Medical history
  • Prenatal ultrasound
  • Chorionic villus sampling (CVS)
  • DNA blood testing
  • Postnatal radiographs

Treatment

Osteogenesis imperfecta (OI) is a rare genetic disorder characterized by fragile bones that break or fracture easily. While there are various treatment options available for OI, drug treatment plays a crucial role in managing the condition.

Bisphosphonates: A Key Treatment Option

According to recent reviews and studies [7], [9], bisphosphonates have been widely used as a medical treatment for OI. These medications slow down the rate at which bones lose density, thereby reducing the risk of fractures [9]. Pamidronate is one of the most commonly used bisphosphonates in this class [1].

Other Medications Used in OI Treatment

In addition to bisphosphonates, other medications such as Denosumab, synthetic parathyroid hormone, and growth hormone are also used in the treatment of OI, especially in children [8]. These medications help to strengthen bones and prevent fractures.

Importance of Early Intervention

Early intervention is essential for ensuring optimal quality of life and outcomes in individuals with OI. Treatment may include fracture care, physical therapy, and other supportive measures [11].

Current Understanding of OI Treatment

While there are no drug therapies specifically developed to treat OI, the current treatment options available are based on medications developed to treat age-related osteoporosis or cancer-related bone loss [12]. A summary of treatment considerations based on OI Type (degree of severity) is included in supporting documents.

References:

[1] Mar 18, 2024 — The most commonly used drug in this class is pamidronate. Bisphosphonates are analogues of inorganic pyrophosphate and act by binding to ...

[7] by JT Tauer · 2019 · Cited by 138 — Bisphosphonate therapy is the most widely used medical treatment in OI.

[8] by M Botor · 2021 · Cited by 67 — Commonly used medications in OI treatment are bisphosphonates, Denosumab, synthetic parathyroid hormone and growth hormone for children therapy.

[9] Aug 26, 2024 — Bisphosphonates are medications originally developed for the treatment of osteoporosis and certain cancers. They slow down the rate at which ...

[11] Early intervention is important to ensure optimal quality of life and outcomes. Treatment for OI and its related symptoms may include: Fracture care; Physical therapy; ...

Differential Diagnosis

Based on the provided context, differential diagnoses for osteogenesis imperfecta (OI) include:

  • Thanatophoric dwarfism [7]
  • Severe hypophosphatasia [7]
  • Mucolipidosis type II [7]

Additionally, other conditions that may be considered in the differential diagnosis of OI include:

  • Nonaccidental trauma [8]
  • Campomelic dysplasia [8]
  • Thanat

Additional Differential Diagnoses

  • Thanatophoric dwarfism
  • Severe hypophosphatasia
  • Mucolipidosis type II

Additional Information

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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.