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成骨不全症:病例系列及文献综述

Osteogenesis Imperfecta: A Case Series and Literature Review.

作者信息

Neri Morales Constanza, Silva Amaro Alejandra, Cardona José D, Bendeck Joanna L, Cifuentes Gaitan Karen, Ferrer Valencia Valentina, Domínguez María T, Quevedo María L, Fernández Isabel, Celis Regalado Luis G

机构信息

Department of Biosciences, University of La Sabana, Chía, COL.

Department of Radiology, University Hospital Fundación Santa Fe de Bogotá, Bogotá, COL.

出版信息

Cureus. 2023 Jan 17;15(1):e33864. doi: 10.7759/cureus.33864. eCollection 2023 Jan.

Abstract

Osteogenesis imperfecta (OI) is a hereditary disease of connective tissue characterized by the loss of bone density and mass, which increases the fragility of the bones, thus presenting multiple fractures throughout the years followed by bone deformity and articular instability. This condition has various clinical presentations. We present four cases of OI, one case with type I, two cases with type II, and one case with type III. The clinical diagnosis in most of the cases was clinical; only one of them was confirmed with genomic sequence. The treatment of these cases was based on medication, orthopedic surgery, and recovery and physical therapy. The evolution was torpid in these cases but with prolonged life expectancy despite the severity and type of OI. It is important to highlight that the patients did not have a neurocognitive compromise. Early diagnosis and multidisciplinary medical management are crucial in obtaining better outcomes for this disease, improving the quality of life, and avoiding complications.

摘要

成骨不全症(OI)是一种结缔组织遗传性疾病,其特征是骨密度和骨量降低,这会增加骨骼的脆性,从而导致多年来出现多处骨折,随后出现骨骼畸形和关节不稳定。这种病症有多种临床表现。我们报告4例成骨不全症病例,其中1例为I型,2例为II型,1例为III型。大多数病例的临床诊断是基于临床表现;只有其中1例通过基因组序列得以确诊。这些病例的治疗基于药物治疗、矫形外科手术以及康复和物理治疗。尽管成骨不全症的严重程度和类型各异,但这些病例的病情进展缓慢,不过预期寿命有所延长。需要强调的是,这些患者没有神经认知功能损害。早期诊断和多学科医疗管理对于改善这种疾病的预后、提高生活质量以及避免并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a0/9935240/d1385cb3407d/cureus-0015-00000033864-i01.jpg

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