Pycnodysostosis- a rare disorder with distinctive craniofacial dysmorphia. A case report

Pycnodysostosis is a rare autosomal recessive condition caused by the mutation of CTSK gene. CTSK regulates the activity of Cathepsin K which is responsible for osteoclast-mediated bone resorption. This mutation causes the bones to become dense, sclerotic, brittle, and thus, prone to fracture. Affec...

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Main Authors: Anka Sharma, Anirudh Upmanyu, Amit R. Parate, Vikrant O. Kasat
Format: Article
Language:English
Published: Elsevier 2021-10-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426821000750
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author Anka Sharma
Anirudh Upmanyu
Amit R. Parate
Vikrant O. Kasat
author_facet Anka Sharma
Anirudh Upmanyu
Amit R. Parate
Vikrant O. Kasat
author_sort Anka Sharma
collection DOAJ
description Pycnodysostosis is a rare autosomal recessive condition caused by the mutation of CTSK gene. CTSK regulates the activity of Cathepsin K which is responsible for osteoclast-mediated bone resorption. This mutation causes the bones to become dense, sclerotic, brittle, and thus, prone to fracture. Affected individuals have normal cognitive development and life expectancy, however, the quality of life depends on the early diagnosis of the condition. The patient presents with striking clinical (short stature, brachydactyly) and radiological (frontal and parieto-occipital bossing, open sutures, and fontanelles, acro-osteolysis of terminal phalanges) features making the diagnosis clinico-radiographic. In atypical or mild cases with overlapping features, gene mapping is advocated. A plethora of dental anomalies and characteristic craniofacial dysmorphia puts the dentist in a position to diagnose such a case.
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publishDate 2021-10-01
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series Journal of Oral Biology and Craniofacial Research
spelling doaj-art-ee3d4d78ff4e4ffe9ddcb61d6f87be6c2024-11-23T06:28:51ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682021-10-01114529535Pycnodysostosis- a rare disorder with distinctive craniofacial dysmorphia. A case reportAnka Sharma0Anirudh Upmanyu1Amit R. Parate2Vikrant O. Kasat3Department of Oral Medicine and Radiology, Government Dental College and Hospital, Aurangabad, Maharashtra, 431001, India; Corresponding author.Private Practitioner, IndiaDepartment of Oral Medicine and Radiology, Government Dental College and Hospital, Aurangabad, Maharashtra, 431001, IndiaDepartment of Oral Medicine and Radiology, Government Dental College and Hospital, Aurangabad, Maharashtra, 431001, IndiaPycnodysostosis is a rare autosomal recessive condition caused by the mutation of CTSK gene. CTSK regulates the activity of Cathepsin K which is responsible for osteoclast-mediated bone resorption. This mutation causes the bones to become dense, sclerotic, brittle, and thus, prone to fracture. Affected individuals have normal cognitive development and life expectancy, however, the quality of life depends on the early diagnosis of the condition. The patient presents with striking clinical (short stature, brachydactyly) and radiological (frontal and parieto-occipital bossing, open sutures, and fontanelles, acro-osteolysis of terminal phalanges) features making the diagnosis clinico-radiographic. In atypical or mild cases with overlapping features, gene mapping is advocated. A plethora of dental anomalies and characteristic craniofacial dysmorphia puts the dentist in a position to diagnose such a case.http://www.sciencedirect.com/science/article/pii/S2212426821000750Acro-osteolysisBrachydactylyPycnodysostosisShort stature
spellingShingle Anka Sharma
Anirudh Upmanyu
Amit R. Parate
Vikrant O. Kasat
Pycnodysostosis- a rare disorder with distinctive craniofacial dysmorphia. A case report
Journal of Oral Biology and Craniofacial Research
Acro-osteolysis
Brachydactyly
Pycnodysostosis
Short stature
title Pycnodysostosis- a rare disorder with distinctive craniofacial dysmorphia. A case report
title_full Pycnodysostosis- a rare disorder with distinctive craniofacial dysmorphia. A case report
title_fullStr Pycnodysostosis- a rare disorder with distinctive craniofacial dysmorphia. A case report
title_full_unstemmed Pycnodysostosis- a rare disorder with distinctive craniofacial dysmorphia. A case report
title_short Pycnodysostosis- a rare disorder with distinctive craniofacial dysmorphia. A case report
title_sort pycnodysostosis a rare disorder with distinctive craniofacial dysmorphia a case report
topic Acro-osteolysis
Brachydactyly
Pycnodysostosis
Short stature
url http://www.sciencedirect.com/science/article/pii/S2212426821000750
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