Kang Sol, Kang Young Kyung, Lee Jun Ah, Kim Dong Ho, Lim Jung Sub
Korea Cancer Center Hospital, Clinic of Pediatrics, Seoul, Republic of Korea
J Clin Res Pediatr Endocrinol. 2019 Nov 22;11(4):439-443. doi: 10.4274/jcrpe.galenos.2019.2018.0229. Epub 2019 Feb 14.
Osteopetrosis is a rare genetic disease characterized by increased bone density and bone fractures due to defective osteoclast function. Autosomal dominant osteopetrosis type 2 (ADO-2), Albers-Schonberg disease, is characterized by the sclerosis of bones, predominantly involving the spine, pelvis and the base of the skull. Here, we report a typical case of osteopetrosis in a 17.7-year-old male who carries a heterozygous c.746C>T mutation in exon 9 in the gene. The patient’s spine showed multiple sclerotic changes including sandwich vertebra. His father had the same mutation but his skeletal radiographs were normal. This is the first reported case of ADO-2, confirmed by genetic testing in a Korean patient.
骨质石化症是一种罕见的遗传性疾病,其特征是由于破骨细胞功能缺陷导致骨密度增加和骨折。常染色体显性遗传性骨质石化症2型(ADO-2),即阿尔伯斯-尚伯格病,其特征是骨骼硬化,主要累及脊柱、骨盆和颅底。在此,我们报告一例典型的骨质石化症病例,患者为一名17.7岁男性,其该基因第9外显子存在杂合性c.746C>T突变。患者脊柱显示出包括夹心椎在内的多处硬化改变。其父亲有相同的突变,但骨骼X光片正常。这是韩国首例经基因检测确诊的ADO-2病例。