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autosomal recessive osteopetrosis 7

ICD-10 Codes

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Description

Autosomal recessive osteopetrosis-7 (OPTB7) is a rare form of osteopetrosis, which is a group of genetic disorders characterized by increased bone density and fragility. This condition is caused by mutations in the TNFRSF11A gene, leading to an osteoclast-poor form of osteopetrosis.

Some key features of OPTB7 include:

  • Visual impairment: Individuals with OPTB7 may experience visual problems due to the abnormal bone growth affecting the eyes.
  • Recurrent respiratory infections: People with this condition are prone to recurring respiratory infections, which can be a significant concern for their overall health.
  • Poor growth and development: Children with OPTB7 may exhibit poor growth and developmental delays, which can impact their quality of life.

It's essential to note that OPTB7 is an extremely rare condition, and more research is needed to fully understand its characteristics and implications. However, it's clear that this form of osteopetrosis has a significant impact on the affected individuals and their families.

References:

  • [2] - OPTB1 provides information on the general phenotypic description and genetic heterogeneity of autosomal recessive osteopetrosis.
  • [5] - This search result describes the clinical features of OPTB7, including visual impairment and recurrent respiratory infections.
  • [6] - Osteopetrosis, autosomal recessive 7 is characterized by increased bone density and severe osteoclast-poor osteopetrosis, which aligns with the description of OPTB7.

Additional Characteristics

  • Increased bone density and fragility
  • Visual impairment due to abnormal bone growth affecting eyes
  • Recurring respiratory infections
  • Poor growth and developmental delays in children
  • Osteoclast-poor form of osteopetrosis

Signs and Symptoms

Autosomal recessive osteopetrosis-7 (OPTB7) is a rare form of osteopetrosis that affects the bone's ability to resorb and remodel itself. The clinical features of OPTB7 include:

  • Visual disturbances, which can range from mild visual impairment to complete blindness [6]
  • Other symptoms may include anemia, bone fractures, and progressive nerve compression, which can lead to a decrease in quality of life [8]

It's worth noting that OPTB7 is a specific subtype of autosomal recessive osteopetrosis, and its clinical features may vary from those of other forms of the disorder.

References: [6] - Clinical features include visual disturbances [8] - Other symptoms may include anemia, bone fractures, and progressive nerve compression

Additional Symptoms

  • Visual disturbances
  • Bone fractures
  • Progressive nerve compression
  • anemia

Diagnostic Tests

Autosomal recessive osteopetrosis (ARO) type 7 is a rare genetic disorder characterized by increased bone mass and density, leading to various complications such as fractures, anemia, and infections. Diagnostic tests for ARO type 7 are crucial for early detection and management of the condition.

Physical Examination

A thorough physical examination can aid in diagnosis, particularly in infants and young children. Physical features may include:

  • Dense sclerotic bones
  • Fractures
  • Neurological symptoms
  • Bone marrow failure
  • Infections

Imaging Studies

Imaging studies such as X-rays, CT scans, or MRI can help assess the extent of bone involvement and identify any complications.

  • X-rays: Can show increased bone density and fractures.
  • CT scans: Can provide detailed images of the bones and surrounding tissues.
  • MRI: Can assess cranial nerves involvement, hydrocephalus, and vascular abnormalities.

Genetic Testing

Genetic testing is essential for diagnosing ARO type 7. The following genes are associated with this condition:

  • CLCN7: Diagnostic testing of this gene can identify a potential genetic basis for the condition.
  • TNFSF11 (OPTB2): Mutations in this gene can cause osteoclast-poor forms of autosomal recessive osteopetrosis, types 2 and 7 respectively.
  • TNFRSF11A (OPTB7): Mutations in this gene can also cause osteoclast-poor forms of autosomal recessive osteopetrosis, types 2 and 7 respectively.

Laboratory Tests

Laboratory tests can aid in diagnosis by identifying specific biomarkers associated with ARO type 7. These may include:

  • Increased creatinine kinase BB: Can be detected in the blood.
  • Tartrate-resistant acid phosphatase: Can be elevated in the blood or bone marrow.

Other Diagnostic Tests

Other diagnostic tests that may be performed to aid in diagnosis include:

  • Bone marrow biopsy: To assess bone marrow failure and identify any abnormalities.
  • Electrolyte panel: To evaluate electrolyte imbalances associated with ARO type 7.

It is essential to consult a geneticist or a specialist in pediatric medicine for accurate diagnosis and management of autosomal recessive osteopetrosis type 7.

Additional Diagnostic Tests

  • Physical Examination
  • Bone marrow biopsy
  • Imaging Studies (X-rays, CT scans, MRI)
  • Electrolyte panel
  • Genetic Testing (CLCN7, TNFSF11, TNFRSF11A)
  • Laboratory Tests (Increased creatinine kinase BB, Tartrate-resistant acid phosphatase)

Treatment

Based on the provided context, here are some potential drug treatments for autosomal recessive osteopetrosis 7 (ARO):

  • Bone marrow transplantation: This is mentioned in search result [9] as one of the treatment options for ARO.
  • Interferon gamma therapy: Long-term therapy with interferon gamma has been shown to increase bone resorption and hematopoiesis, improving leukocyte function in patients with osteopetrosis (search result [8]).
  • Erythropoietin: This agent can be used against anemia associated with ARO (search result [5]).
  • Corticosteroids: Corticosteroids have been used to stimulate bone resorption and treat anemia in patients with osteopetrosis (search result [5]).
  • Busulfan: The alkylating agent busulfan is the most frequently used drug for treating ARO, as its dosage can be measured and adjusted during treatment (search result [6]).

It's worth noting that these treatments may not be effective for all patients with ARO, and novel therapeutic approaches are being explored, such as gene therapy and gene editing (search result [13]).

Recommended Medications

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Differential Diagnosis

The differential diagnosis for autosomal recessive osteopetrosis (ARO) includes several conditions that can present with similar symptoms. Some of these conditions are:

  • Autosomal dominant osteopetrosis: This is a milder form of the disease and is characterized by a "bone-within-a-bone" appearance on radiographs [6].
  • Chronic renal failure: This condition can also lead to diffuse osteosclerosis, making it difficult to distinguish from ARO.
  • Oxalosis: A rare genetic disorder that can cause bone pain, joint pain, and other symptoms similar to those seen in ARO.
  • Pyknodysostosis: A congenital disorder characterized by dense bones and short stature, which can be confused with ARO.

It's essential to consider these conditions when diagnosing autosomal recessive osteopetrosis, as they can present with overlapping symptoms. A thorough medical history, physical examination, and radiographic findings are crucial in making an accurate diagnosis [10].

References: [6] Oct 15, 2021 — Differential diagnosis · autosomal dominant osteopetrosis (bone-within-a-bone appearance is AD) · chronic renal failure · oxalosis · pyknodysostosis [10] Intermediate autosomal recessive osteopetrosis is the result of a loss of function mutation in CAII, the gene responsible for the production of the carbonic anhydrase II protein. ... Differential Diagnosis. While osteopetrosis is a disease of primary bone sclerosis, many conditions can lead to similar osteosclerosis in a secondary way.

Additional Differential Diagnoses

Additional Information

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An osteopetrosis characterized by autosomal recessive inheritance that has_material_basis_in homozygous or compound heterozygous mutation in the TNFRSF11A gene on chromosome 18q21.
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osteopetrosis-hypogammaglobulinemia syndrome
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