Osteopoikilosis

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Osteopoikilosis
Classification and external resources
Osteopoikilie Haende.jpg
Osteopoikilosis on a x-ray of the hands
ICD-10 Q78.8
ICD-9 756.53
OMIM 166700
DiseasesDB 30071
eMedicine derm/733
MeSH D010023
Osteopoikilosis of the hips on CT.

Osteopoikilosis is a benign, autosomal dominant sclerosing dysplasia of bone characterized by the presence of numerous bone islands in the skeleton.[1]

The radiographic appearance of osteopoikilosis on an x-ray is characterized by a pattern of numerous white densities of similar size spread throughout all the bones. This is a systemic condition. It must be differentiated from blastic metastasis, which can also present radiographically as white densities interspersed throughout bone. Blastic metastasis tends to present with larger and more irregular densities in less of a uniform pattern. Another differentiating factor is age, with blastic metastasis mostly affecting older people, and osteopoikilosis being found in people 20 years of age and younger.

Men and women are affected in equal number.,[2] reflecting the fact that this disease attacks indiscriminately. Additionally, the disease is often associated with melorheostosis,[3] despite the apparent lack of correlation between Melorheostosis and genetic heritability.[citation needed] It has been tied to LEMD3.[4] Buschke-Ollendorff syndrome is a similar condition,[5] which is also associated with LEMD3.[6]

See also[edit]

References[edit]

  1. ^ Bull M, Calderbank P, Ramachandran N (2007). "A cause for concern? Osteopoikilosis found incidentally in the emergency department: a case report". Emerg Med J 24 (5): e29. doi:10.1136/emj.2006.045765. PMC 2658513. PMID 17452689. 
  2. ^ Serdaroğlu M, Capkin E, Uçüncü F, Tosun M (2007). "Case report of a patient with osteopoikilosis". Rheumatol. Int. 27 (7): 683–6. doi:10.1007/s00296-006-0262-9. PMID 17106662. 
  3. ^ Nevin NC, Thomas PS, Davis RI, Cowie GH (1999). "Melorheostosis in a family with autosomal dominant osteopoikilosis". Am. J. Med. Genet. 82 (5): 409–14. doi:10.1002/(SICI)1096-8628(19990219)82:5<409::AID-AJMG10>3.0.CO;2-2. PMID 10069713. 
  4. ^ Hellemans J, Preobrazhenska O, Willaert A, et al. (2004). "Loss-of-function mutations in LEMD3 result in osteopoikilosis, Buschke-Ollendorff syndrome and melorheostosis". Nat. Genet. 36 (11): 1213–8. doi:10.1038/ng1453. PMID 15489854. 
  5. ^ synd/1803 at Who Named It?
  6. ^ Mumm S, Wenkert D, Zhang X, McAlister WH, Mier RJ, Whyte MP (2007). "Deactivating germline mutations in LEMD3 cause osteopoikilosis and Buschke-Ollendorff syndrome, but not sporadic melorheostosis". J. Bone Miner. Res. 22 (2): 243–50. doi:10.1359/jbmr.061102. PMID 17087626.