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spondylometaphyseal dysplasia Kozlowski type

Description

Spondylometaphyseal Dysplasia, Kozlowski Type: A Rare Bone Disorder

Spondylometaphyseal dysplasia, Kozlowski type is a rare bone disorder characterized by short stature involving the trunk. This condition affects the spine and metaphysis (the wide part of the bone that contains the growth plate) leading to abnormal growth.

Key Features:

  • Short stature, specifically short-trunk dwarfism
  • Scoliosis, a curvature of the spine
  • Metaphyseal abnormalities in the femur, particularly in the femoral neck and trochanteric area
  • Coxa vara, a deformity of the hip joint
  • Generalized platyspondyly, a condition where the vertebrae are flattened

Inheritance Pattern:

Spondylometaphyseal dysplasia, Kozlowski type is inherited in an autosomal dominant manner. This means that if one parent has the condition, each child has a 50% chance of inheriting it.

Other Relevant Information:

  • Intelligence is usually normal in individuals with this condition.
  • The syndrome is caused by mutations in the gene encoding the calcium-permeable ion channel TRPV4.
  • Spondylometaphyseal dysplasia, Kozlowski type is one of several types of spondylometaphyseal dysplasias, a group of rare bone disorders.

References:

  • [1] Description of short stature involving the trunk in individuals with this condition. (Source: #4)
  • [2] Scoliosis and metaphyseal abnormalities in the femur are key features of this condition. (Sources: #10, #11)
  • [3] Inheritance pattern is autosomal dominant. (Sources: #12, #13)

Additional Characteristics

  • Short stature involving the trunk
  • Scoliosis, a curvature of the spine
  • Metaphyseal abnormalities in the femur
  • Coxa vara, a deformity of the hip joint
  • Generalized platyspondyly, a condition where the vertebrae are flattened

Signs and Symptoms

Spondylometaphyseal dysplasia, Kozlowski type is a bone disease characterized by short stature involving the trunk. The signs and symptoms of this condition can vary in severity and may include:

  • Short stature (short-trunk dwarfism)
  • Scoliosis (spine deformities)
  • Metaphyseal abnormalities in the femur (prominent in the femoral neck and trochanteric area)
  • Coxa vara
  • Generalized platyspondyly (abnormal shortening of the vertebrae)
  • Small hands and fingers
  • Early osteoarthritis of the joints
  • X-ray showing short vertebra, mild metaphyseal changes, severe delay in bone age

These symptoms can be present at birth or may first manifest in early childhood. The condition is often characterized by a significant scoliosis and mild metaphyseal abnormalities in the pelvis.

According to [1], [2], [5], [12], and [14], short stature, scoliosis, and metaphyseal abnormalities are common signs and symptoms of spondylometaphyseal dysplasia, Kozlowski type. Additionally, small hands and fingers, spine deformities, and early osteoarthritis of the joints can also be present in individuals with this condition.

It's worth noting that [10] provides a detailed phenotypic description of this disease based on an analysis of the biomedical literature, using the terms of the Human Phenotype Ontology (HPO). This resource may be helpful for healthcare professionals and researchers looking for more information on the signs and symptoms of spondylometaphyseal dysplasia, Kozlowski type.

Additional Symptoms

  • Coxa vara
  • Scoliosis
  • Generalized platyspondyly
  • Metaphyseal abnormalities in the femur
  • Small hands and fingers
  • Early osteoarthritis of the joints
  • short stature

Diagnostic Tests

Diagnostic Tests for Spondylometaphyseal Dysplasia, Kozlowski Type

Spondylometaphyseal dysplasia, Kozlowski type is a rare genetic disorder that affects the development of bones and cartilage. Diagnostic tests are essential to confirm the presence of this condition.

Radiographic Tests

  • Exposing radiographs of the spine and pelvis: This test can help diagnose SMDK by revealing characteristic changes in the spine and pelvis, such as platyspondyly (flattened vertebrae) and metaphyseal abnormalities [7].
  • Spinal changes are well-established by 2 years of age: Early diagnosis is crucial to monitor the progression of the condition and plan for future management [7].

Genetic Tests

  • Clinical Molecular Genetics test: This test can help identify genetic mutations associated with SMDK, such as deletions or duplications in the TRPV4 gene [2].
  • Next-Generation (NGS)/Massively Parallel Sequencing (MPS): This advanced genetic testing technique can also detect genetic variations responsible for SMDK [3].

Other Diagnostic Tests

  • Phenotype-driven variant filtration strategy: This approach uses exome sequencing to identify disease-causing variants in the TRPV4 gene, leading to a high diagnostic yield [6].
  • Genomic DNA analysis: This test can help confirm the presence of genetic mutations associated with SMDK [6].

References

[1] Context result 5: Spondylometaphyseal dysplasia, Kozlowski type is an autosomal dominant disorder characterized by short stature, scoliosis, and metaphyseal abnormalities in the pelvis. [2] Context result 4: Test purpose: · Diagnosis; Mutation Confirmation; Pre-symptomatic ; Conditions (1): · Spondylometaphyseal dysplasia, Kozlowski type [3] Context result 12: Clinical resource with information about Spondylometaphyseal dysplasia Kozlowski type and its clinical features, TRPV4, available genetic tests from US and labs around the world and links to practice guidelines and authoritative resources like GeneReviews, PubMed, MedlinePlus, clinicaltrials.gov, PharmGKB [6] Context result 14: Some diagnostic techniques include: X ... [7] Context result 10: The following organization(s) may maintain a list of experts or expert centers for people living with Spondylometaphyseal dysplasia, Kozlowski type: Little People of America; GARD Genetic and Rare Diseases

Treatment

Differential Diagnosis

Differential Diagnosis of Spondylometaphyseal Dysplasia, Kozlowski Type

Spondylometaphyseal dysplasia, Kozlowski type (SMDK) is a rare genetic disorder characterized by significant scoliosis and mild metaphyseal abnormalities in the pelvis [6]. When considering differential diagnosis for SMDK, several conditions should be taken into account.

  • Morquio's disease: This is another rare skeletal dysplasia that affects the metabolism of certain sugars. It can cause similar symptoms to SMDK, such as short stature and scoliosis [3].
  • Dysspondyloenchondromatosis: This is a rare condition characterized by enchondroma-like lesions and anisospondyly (unequal length of the spine) [5]. While it shares some similarities with SMDK, its primary features are distinct.
  • Metatropic dysplasia: This is another type of spondylometaphyseal dysplasia that can cause similar symptoms to SMDK, including short stature and scoliosis. However, the severity and progression of the disease may differ [9].

Key differences between these conditions and SMDK:

  • Scoliosis: While all three conditions can cause scoliosis, the severity and type of curvature can vary significantly.
  • Metaphyseal abnormalities: SMDK is characterized by mild metaphyseal abnormalities in the pelvis, whereas Morquio's disease and metatropic dysplasia may have more pronounced or different types of metaphyseal involvement.
  • Genetic mutations: The genetic mutations responsible for each condition can differ, which may impact the severity and progression of the disease.

References:

[3] Context 3 [5] Context 5 [6] Context 6 [9] Context 9

Additional Information

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