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Osteoporosis Pseudoglioma Syndrome.
Vykuntaraju K Gowda1, Hemadri Vegda1, Sanjay K Shivappa2
1Department of Pediatric Neurology, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
Journal of Pediatric Neurosciences
|February 3, 2021
Summary
Osteoporosis pseudoglioma syndrome, a rare genetic disorder, causes severe bone fragility and vision loss. Genetic testing identified a specific mutation, aiding diagnosis and potential early intervention for affected children.
Area of Science:
- Genetics
- Ophthalmology
- Pediatrics
- Endocrinology
Background:
- Osteoporosis pseudoglioma syndrome (OPS) is a rare autosomal recessive disorder.
- It is characterized by severe early-onset osteoporosis and congenital ocular abnormalities.
- Intellectual disability is also a common feature.
Purpose of the Study:
- To report a case of Osteoporosis pseudoglioma syndrome in a 14-year-old female.
- To highlight the clinical and radiological features.
- To confirm the diagnosis through genetic testing.
Main Methods:
- Clinical examination including ophthalmological assessment.
- Skeletal survey for bone abnormalities.
- Targeted next-generation sequencing (NGS) and Sanger sequencing for genetic variant identification.
Main Results:
- The patient presented with severe osteoporosis, fractures, and typical ocular findings (micropthalmia, microcornea, corneal clouding, vitreo-retinal detachment).
- Skeletal survey revealed fractures and vertebral abnormalities.
- Genetic analysis identified a homozygous pathogenic variant (c.1096G>A/p.V366M) in the relevant gene.
Conclusions:
- This case underscores the importance of early diagnosis of Osteoporosis pseudoglioma syndrome.
- Genetic confirmation is crucial for accurate diagnosis.
- Timely intervention can help prevent further skeletal complications.
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