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Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
Published on: January 29, 2018
[Delayed psychomotor development caused by malignant infantile osteopetrosis]
Malene S Heidemann1, Anders J Schou, Maria Kibaek
1Paediatrisk Afdeling H, Odense Universitetshospital, DK-5000 Odense C. msheidemann@dadlnet.dk
Insights
Malignant infantile osteopetrosis (MIOP) is a rare genetic bone disease. Successful bone marrow transplant (BMT) in an infant patient led to improved psychomotor development, offering a potential curative treatment.
Area of Science:
- Pediatric Hematology
- Genetics and Rare Diseases
- Pediatric Neurology
Background:
- Malignant infantile osteopetrosis (MIOP) is a severe inherited disorder impacting bone resorption due to osteoclast dysfunction.
- Early symptoms include recurrent infections, failure to thrive, and vision impairment, progressing to neurological deficits and fatality if untreated.
Observation:
- A male infant presented with MIOP symptoms at three weeks of age, with diagnosis confirmed at 11 months.
- The patient exhibited delayed psychomotor development consistent with the disease's neurological impact.
Findings:
- The patient underwent a successful bone marrow transplant (BMT) as a potentially curative intervention.
- Post-BMT, significant improvement in the patient's delayed psychomotor development was observed.
Implications:
- Bone marrow transplant (BMT) represents a critical, potentially curative treatment for Malignant Infantile Osteopetrosis.
- Early diagnosis and intervention, including BMT, can significantly improve neurodevelopmental outcomes in MIOP patients.
Abstract:
Malignant infantile osteopetrosis (MIOP) is a hereditary bone disorder caused by osteoclastic dysfunction. Within the first year of life affected children present with recurrent infections, vision impairment, failure to thrive, bone marrow failure, and at later stages neurological deficits and ultimately death. Bone marrow transplant (BMT) is the only curative treatment. We present a patient with MIOP, who showed the first symptoms at three weeks of age, and the disease was diagnosed at 11 months of age. The boy had a successful BMT after which the delayed psychomotor development improved.
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