Fibrodysplasia Ossificans Progressiva
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25754/pjp.2021.21653 |
Resumo: | Fibrodysplasia ossificans progressiva (FOP) is an extremely rare disease with an estimated prevalence of 1/2000000. Classic FOP is caused by a recurrent activating mutation in the gene ACVR1 / ALK2. It has an autosomal dominant transmission pattern but in most cases occurs spontaneously. (1) Patients with classical FOP are initially asymptomatic, presenting only characteristic congenital malformations of the great toes (1). In the first decade of life it manifests as acute sporadic episodes of painful soft tissue sweling. Although some exacerbations spontaneously regress, some develop heterotopic ossification of the affected soft tissues.(2) Over time these extra articular heterotopic formations condition the child’s mobility, having a cumulative effect, conditioning the development of thoracic insufficiency syndrome, reducing markedly life expectancy. (3) We present a case of a 13-year-old boy, born in Guinea Bissau, referred to a pediatric hospital at the age of 2, for evaluation and clinical follow-up in the context of sporadic episodes of generalized pain and dispersed swellings. He was diagnosed with FOP, with genetic testing confirmation. In the following years he had multiple sporadic episodes of painfull soft tissue swelling, which often progressed to stiffness and decreased mobility of the affected joints. The disease predominantly affected both elbows, both coxo femoral articulations and the dorsal spine. We present two images documenting the progression of the disease over the years, figure 1 and 2, we can verify ill-defined radio-opaque neoformations in the upper left limb and coxo femoral joints, and its expansion over time conditioning rigid ankylosis of the affected joints. |
id |
RCAP_f6597f5c767511e41dcdecdb01a041d3 |
---|---|
oai_identifier_str |
oai:ojs.revistas.rcaap.pt:article/21653 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Fibrodysplasia Ossificans ProgressivaImages in PediatricsFibrodysplasia ossificans progressiva (FOP) is an extremely rare disease with an estimated prevalence of 1/2000000. Classic FOP is caused by a recurrent activating mutation in the gene ACVR1 / ALK2. It has an autosomal dominant transmission pattern but in most cases occurs spontaneously. (1) Patients with classical FOP are initially asymptomatic, presenting only characteristic congenital malformations of the great toes (1). In the first decade of life it manifests as acute sporadic episodes of painful soft tissue sweling. Although some exacerbations spontaneously regress, some develop heterotopic ossification of the affected soft tissues.(2) Over time these extra articular heterotopic formations condition the child’s mobility, having a cumulative effect, conditioning the development of thoracic insufficiency syndrome, reducing markedly life expectancy. (3) We present a case of a 13-year-old boy, born in Guinea Bissau, referred to a pediatric hospital at the age of 2, for evaluation and clinical follow-up in the context of sporadic episodes of generalized pain and dispersed swellings. He was diagnosed with FOP, with genetic testing confirmation. In the following years he had multiple sporadic episodes of painfull soft tissue swelling, which often progressed to stiffness and decreased mobility of the affected joints. The disease predominantly affected both elbows, both coxo femoral articulations and the dorsal spine. We present two images documenting the progression of the disease over the years, figure 1 and 2, we can verify ill-defined radio-opaque neoformations in the upper left limb and coxo femoral joints, and its expansion over time conditioning rigid ankylosis of the affected joints.Sociedade Portuguesa de Pediatria2021-11-03info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25754/pjp.2021.21653eng2184-44532184-3333Sousa, FábioGomes, PatríciaCastro, JoãoGamelas, Patríciainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T02:58:14Zoai:ojs.revistas.rcaap.pt:article/21653Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:25:36.957129Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Fibrodysplasia Ossificans Progressiva |
title |
Fibrodysplasia Ossificans Progressiva |
spellingShingle |
Fibrodysplasia Ossificans Progressiva Sousa, Fábio Images in Pediatrics |
title_short |
Fibrodysplasia Ossificans Progressiva |
title_full |
Fibrodysplasia Ossificans Progressiva |
title_fullStr |
Fibrodysplasia Ossificans Progressiva |
title_full_unstemmed |
Fibrodysplasia Ossificans Progressiva |
title_sort |
Fibrodysplasia Ossificans Progressiva |
author |
Sousa, Fábio |
author_facet |
Sousa, Fábio Gomes, Patrícia Castro, João Gamelas, Patrícia |
author_role |
author |
author2 |
Gomes, Patrícia Castro, João Gamelas, Patrícia |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Sousa, Fábio Gomes, Patrícia Castro, João Gamelas, Patrícia |
dc.subject.por.fl_str_mv |
Images in Pediatrics |
topic |
Images in Pediatrics |
description |
Fibrodysplasia ossificans progressiva (FOP) is an extremely rare disease with an estimated prevalence of 1/2000000. Classic FOP is caused by a recurrent activating mutation in the gene ACVR1 / ALK2. It has an autosomal dominant transmission pattern but in most cases occurs spontaneously. (1) Patients with classical FOP are initially asymptomatic, presenting only characteristic congenital malformations of the great toes (1). In the first decade of life it manifests as acute sporadic episodes of painful soft tissue sweling. Although some exacerbations spontaneously regress, some develop heterotopic ossification of the affected soft tissues.(2) Over time these extra articular heterotopic formations condition the child’s mobility, having a cumulative effect, conditioning the development of thoracic insufficiency syndrome, reducing markedly life expectancy. (3) We present a case of a 13-year-old boy, born in Guinea Bissau, referred to a pediatric hospital at the age of 2, for evaluation and clinical follow-up in the context of sporadic episodes of generalized pain and dispersed swellings. He was diagnosed with FOP, with genetic testing confirmation. In the following years he had multiple sporadic episodes of painfull soft tissue swelling, which often progressed to stiffness and decreased mobility of the affected joints. The disease predominantly affected both elbows, both coxo femoral articulations and the dorsal spine. We present two images documenting the progression of the disease over the years, figure 1 and 2, we can verify ill-defined radio-opaque neoformations in the upper left limb and coxo femoral joints, and its expansion over time conditioning rigid ankylosis of the affected joints. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-11-03 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25754/pjp.2021.21653 |
url |
https://doi.org/10.25754/pjp.2021.21653 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-4453 2184-3333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799133524899397632 |