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- W3000128240 abstract "Pycnodysostosis is rare autosomal recessive lysosomal storage disorder of bone in which the enzyme Cathepsin K is mutated which maps on chromosome 1q21 causing osteoclast dysfunction. It is characterized by short stature, craniofacial dysmorphias, osteosclerosis, and brittle bones. Recognition of these signs is important in order to make the diagnosis and prevent possible complications. A 13-year old male patient of 130 cm height presented to the emergency with pathological fracture in shaft of left tibia. On the basis of clinical and radiological findings, he was diagnosed as a case of pycnodysostosis. The patient had history of pathological fracture in shaft of right tibia. With normal bone healing, open fontanelles, short stature, short finger tips, flat and grooved nails, micrognathia, and irregular teeth with hypodontia. Radiological evaluation of patient revealed generalized osteopetrosis, short distal phalanges, obtuse angle of mandible and open fontanelles. He was managed conservatively and showed normal bone healing pattern. No specific treatment options exist, so treatment is supportive, with fracture prevention and management constituting the most important aspects of clinical care. Dental hygiene and regular checkups are also helpful in preventing complications." @default.
- W3000128240 created "2020-01-23" @default.
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- W3000128240 date "2020-01-09" @default.
- W3000128240 modified "2023-09-30" @default.
- W3000128240 title "Pycnodysostosis presented with tibial shaft fracture" @default.
- W3000128240 doi "https://doi.org/10.11604/pamj.2020.35.5.8581" @default.
- W3000128240 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7026515" @default.
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