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A cross-sectional multicenter study of osteogenesis imperfecta in North America - results from the linked clinical research centers.
[dentinogenesis imperfecta]
Osteogenesis
imperfecta
(
OI
)
is
the
most
common
skeletal
dysplasia
that
predisposes
to
recurrent
fractures
and
bone
deformities
.
In
spite
of
significant
advances
in
understanding
the
genetic
basis
of
OI
,
there
have
been
no
large
-scale
natural
history
studies
.
To
better
understand
the
natural
history
and
improve
the
care
of
patients
,
a
network
of
Linked
Clinical
Research
Centers
(
LCRC
)
was
established
.
Subjects
with
OI
were
enrolled
in
a
longitudinal
study
,
and
in
this
report
,
we
present
cross-sectional
data
on
the
largest
cohort
of
OI
subjects
(
n
 
=
 
544
)
.
OI
type
III
subjects
had
higher
prevalence
of
dentinogenesis
imperfecta
,
severe
scoliosis
,
and
long
bone
deformities
as
compared
to
those
with
OI
types
I
and
IV
.
Whereas
the
mean
lumbar
spine
area
bone
mineral
density
(
LS
aBMD
)
was
low
across
all
OI
subtypes
,
those
with
more
severe
forms
had
lower
bone
mass
.
Molecular
testing
may
help
predict
the
subtype
in
type
I
collagen-related
OI
.
Analysis
of
such
well-collected
and
unbiased
data
in
OI
can
not
only
help
answering
questions
that
are
relevant
to
patient
care
but
also
foster
hypothesis-driven
research
,
especially
in
the
context
of
'
phenotypic
expansion
'
driven
by
next
-generation
sequencing
.
Diseases
Validation
Diseases presenting
"severe forms"
symptom
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dystrophic epidermolysis bullosa
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kindler syndrome
omenn syndrome
primary hyperoxaluria type 1
pyomyositis
severe combined immunodeficiency
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