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Hajdu Cheney Syndrome
Shini Susan Samuel1, Shrinath Shetty2, Gautham Arunachal3
1Assistant Professor, Department of Dental Surgery, Christian Medical College , Vellore, India .
Insights
Hajdu-Cheney Syndrome, a rare genetic disorder causing bone destruction, often goes undiagnosed until adulthood. This case highlights its presentation with severe periodontitis and dental issues in a 26-year-old male.
Area of Science:
- Genetics
- Rare Diseases
- Bone Metabolism
Background:
- Hajdu-Cheney Syndrome (HCS) is a rare autosomal dominant disorder.
- Characterized by progressive focal bone destruction, HCS onset is from birth but diagnosis is often delayed.
- Sporadic cases have also been reported, adding complexity to its genetic profile.
Observation:
- A 26-year-old male presented with severe periodontitis and premature tooth loss.
- The patient exhibited characteristic craniofacial dysmorphism, digit abnormalities, and dental anomalies.
- These features prompted further investigation into a potential underlying systemic disorder.
Findings:
- The case confirmed Hajdu-Cheney Syndrome as the underlying diagnosis.
- The presentation underscores the variability in HCS manifestation and delayed diagnosis.
- Severe periodontitis and premature tooth loss can be key indicators in adult patients.
Implications:
- Early recognition of craniofacial and dental abnormalities is crucial for identifying HCS.
- Multidisciplinary specialist evaluation can lead to earlier diagnosis and management.
- Timely diagnosis can prevent advanced disease progression and improve patient outcomes.
Abstract:
Hajdu-Cheney Syndrome is a rare genetic disorder characterised by progressive focal bone destruction. It is known to be an autosomal dominant disorder but there have been reports of sporadic cases as well. Although the disease manifestation is found to begin from birth, it is most often not diagnosed until adolescence or adulthood. It could be due to the rarity of the condition and the variation of the disease manifestation at different age groups. We report a case of Hajdu-Cheney Syndrome in a 26-year-old male who presented with severe periodontitis and premature loss of teeth. The other characteristic features included craniofacial dysmorphism, abnormalities of the digits and dental anomalies. Patients with craniofacial dysmorphism along with dental abnormalities should be thoroughly examined for any underlying systemic disorder. A team of specialists may be able to diagnose this condition before the disease is advanced.
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